UST-51800-57807
3 vaccinations
1 coded response
24 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-09-06
- Relationship
- Child or adolescent in my care
- Guardian
- V5K-11691-69417
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-06
Registered in v-safe
-
2022-09-06
Dose 1 — Moderna
-
2022-09-06
Health check-in — day 0, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-13
- 2022-09-29
-
2022-10-06
Dose 2 — Moderna
-
2022-10-06
Health check-in — day 0, dose 2, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-20
- 2022-11-05
-
2022-11-10
Survey response — day 35, dose 2, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, fever, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — day 35, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-11
- 2022-11-17
- 2023-01-05
-
2023-03-06
Dose 3 — ModernaCo-administered: Chickenpox:Hepatitis A:MMR
- 2023-03-22
- 2023-03-27
- 2023-04-03
- 2023-04-17
- 2023-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-06 | Moderna | No |
| 2 | 2022-10-06 | Moderna | No |
| 3 | 2023-03-06 | Moderna | Chickenpox:Hepatitis A:MMR |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-10 | Unsuccessful |
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Congestion, fever, 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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release