UJ7-15097-32467
1 vaccination
1 coded response
4 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 921 / CA
- Registered
- 2022-07-28
- Relationship
- Child or adolescent in my care
- Guardian
- PWR-29509-80971
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-07-28
Registered in v-safe
-
2022-07-28
Survey response — day 35, dose 1, under 3MedDRA: COVID-19, Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid diagnosis with symptoms of fatigue, congestion, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-12-22
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
Free text
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Covid diagnosis with symptoms of fatigue, congestion, runny nose, cough
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release