VEQ-10864-72574
3 vaccinations
2 coded responses
32 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 680 / NE
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 62A-22563-73132
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-07-09
Dose 1 — Moderna
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-23
- 2022-07-30
-
2022-08-18
Dose 2 — Moderna
- 2022-08-18
-
2022-08-19
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Pre-existing disease — Feeling: Fair · Fever · Be unable to work or attend schoolFree text: Runny nose, cough, sneezing - started day before vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-08-20
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Pre-existing disease — Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Be unable to work or attend schoolFree text: Continued viral symptoms that predated shotMedDRA releases: 2024-11 · check-in free text available
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-11-17
- 2023-02-18
-
2023-03-31
Dose 3 — Moderna
- 2023-04-11
- 2023-04-14
- 2023-04-21
- 2023-04-28
- 2023-05-05
- 2023-05-12
- 2023-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-18 | Moderna | No |
| 3 | 2023-03-31 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Runny nose, cough, sneezing - started day before vaccine
Systemic reaction (other): Continued viral symptoms that predated shot
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 |
|---|---|---|---|---|
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release