W3E-46965-07819
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 972 / OR
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- GXU-20988-15595
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-27
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · NoneAdult check-in
- 2022-07-23
- 2022-07-25
- 2022-07-26
- 2022-08-02
-
2022-08-11
Survey response — day 21, dose 2, dependentMedDRA: Chills, Fatigue, Headache, Illness, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Fever, headache, fatigue, chills. 24 hour illness. Negative rapid test.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-16
- 2022-08-23
- 2022-08-30
-
2022-10-18
Survey response — 3 months, dose 2, dependentMedDRA: Chills, Cough, Discharge, Nasopharyngitis, Pain, Pyrexia, Respiratory tract congestion, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: fever, respiratory cold/virus (runny, coughing, congestion, aches, chills)MedDRA releases: 2024-11 · check-in free text available
-
2023-01-13
Dose 3 — Moderna
- 2023-01-18
- 2023-01-18
- 2023-01-19
- 2023-01-20
- 2023-01-27
- 2023-02-05
- 2023-02-10
- 2023-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
| 3 | 2023-01-13 | Moderna | No |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Fever, headache, fatigue, chills. 24 hour illness. Negative rapid test.
Release 12 — 3 months, dose 2, dependent
Symptoms: fever, respiratory cold/virus (runny, coughing, congestion, aches, chills)
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release