V4P-42071-04488
3 vaccinations
2 coded responses
32 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 617 / IL
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- CK5-16616-82813
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-24
Dose 1 — Moderna
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-23
-
2022-07-25
Dose 2 — Moderna
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-10-24
- 2023-01-23
-
2023-03-13
Dose 3 — Moderna
- 2023-03-17
- 2023-03-19
- 2023-03-20
- 2023-03-29
-
2023-04-03
Survey response — day 21, dose 3, under 3MedDRA: Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-10
Survey response — day 28, dose 3, under 3MedDRA: Respiratory tract congestion, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-10
Report sent to call center — day 28, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-11
- 2023-04-17
- 2023-04-24
- 2023-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
| 3 | 2023-03-13 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
None.
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 | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release