UTJ-27212-42389
2 vaccinations
2 coded responses
19 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 117 / NY
- Registered
- 2022-08-12
- Relationship
- Child or adolescent in my care
- Guardian
- K2H-19648-10546
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-11
Dose 1 — Moderna
-
2022-08-12
Registered in v-safe
-
2022-08-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-13
- 2022-08-14
-
2022-08-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-09-08
Dose 2 — Moderna
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-17
-
2022-09-22
Survey response — day 14, dose 2, dependentMedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Fever of 102MedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-23
- 2022-12-10
-
2023-03-09
Survey response — 6 months, dose 2, dependentMedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-11 | Moderna | No |
| 2 | 2022-09-08 | Moderna | No |
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Fever of 102
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 | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release