W4Q-10259-94321
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 651 / MO
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- Z3C-30580-29068
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-01
- 2022-07-08
-
2022-07-15
Survey response — day 21, dose 1, dependentMedDRA: Diarrhoea, Respiratory tract congestion — Feeling: FairFree text: About 5 days ago, she had a couple days or diarrhea. Seemed to feel fine otherwise. She currently has some congestion that started yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
-
2022-08-12
Survey response — day 21, dose 2, dependentMedDRA: Respiratory tract congestion — Feeling: FairFree text: Congestion. It's been going on for several days.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Survey response — day 28, dose 2, dependentMedDRA: Nasal inflammation, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion. Seems like mostly nasal inflammation, which I would normally attribute to allergies, but it's been going on for a while.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-26
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Pre-existing disease — Feeling: GoodFree text: Cough. Seems to be related to allergies. It's not bad.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: About 5 days ago, she had a couple days or diarrhea. Seemed to feel fine otherwise. She currently has some congestion that started yesterday.
Release 12 — day 21, dose 2, dependent
Symptoms: Congestion. It's been going on for several days.
Release 12 — day 28, dose 2, dependent
Symptoms: Congestion. Seems like mostly nasal inflammation, which I would normally attribute to allergies, but it's been going on for a while.
Release 12 — 3 months, dose 2, dependent
Symptoms: Cough. Seems to be related to allergies. It's not bad.
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 | Diarrhoea | · | · | ✓ |
| SD | Nasal inflammation | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release