WFM-11695-54698
2 vaccinations
1 coded response
21 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2023-01-28
- Relationship
- Child or adolescent in my care
- Guardian
- QTM-33979-72706
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2023-01-27
Dose 1 — ModernaCo-administered: Flu:Hib:Polio:Tetanus
-
2023-01-28
Registered in v-safe
-
2023-01-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
- 2023-01-29
- 2023-01-30
- 2023-02-01
- 2023-02-02
- 2023-02-03
- 2023-02-10
- 2023-02-17
- 2023-02-24
-
2023-03-01
Dose 2 — ModernaCo-administered: Flu
- 2023-03-03
-
2023-03-04
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-03-05
-
2023-03-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-03-07
- 2023-03-10
-
2023-03-15
Survey response — day 14, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
- 2023-03-22
- 2023-03-29
- 2023-04-05
- 2023-04-12
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-27 | Moderna | Flu:Hib:Polio:Tetanus |
| 2 | 2023-03-01 | Moderna | Flu |
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 | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release