WKN-17528-21604
3 vaccinations
10 coded responses
24 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 936 / CA
- Registered
- 2022-06-20
- Relationship
- Child or adolescent in my care
- Guardian
- 38Y-14009-08690
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-20
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
-
2022-07-06
Survey response — day 14, dose 1, dependentMedDRA: Injection site erythema, Injection site induration, Injection site swelling — Feeling: GoodFree text: Red hard bump at injection site 6/30-7/1MedDRA releases: 2024-11 · check-in free text available
-
2022-07-13
Survey response — day 21, dose 1, dependentMedDRA: Abdominal pain upper, Decreased appetite, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild fever, stomach pain, no appetiteMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Dose 2 — Moderna
-
2022-07-20
Survey response — day 0, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain, RednessFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Injection site induration — Feeling: Good · Site: PainFree text: Hardness at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Injection site mass — Feeling: GoodFree text: Lump at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2022-07-24
- 2022-07-26
-
2022-07-29
Survey response — day 7, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Survey response — day 14, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
-
2022-08-17
Survey response — day 28, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Coughing, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Survey response — day 35, dose 2, dependentMedDRA: Ear infection, Respiratory tract congestion, Rhinorrhoea, Secretion discharge, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny nose, congestion, throwing up mucus, ear infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain upper, Aphonia, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fever, runny nose, coughing, congestion, lost her voice, sore throat, stomach pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-24
- 2023-01-22
-
2023-02-06
Dose 3 — Moderna
- 2023-03-23
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2023-02-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Red hard bump at injection site 6/30-7/1
Release 12 — day 21, dose 1, dependent
Symptoms: Mild fever, stomach pain, no appetite
Release 12 — day 0, dose 2, dependent
Systemic reaction (other): Runny nose and cough
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Hardness at injection site
Systemic reaction (other): Lump at injection site
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Runny nose
Release 12 — day 14, dose 2, dependent
Symptoms: Cough, runny nose, congestion
Release 12 — day 28, dose 2, dependent
Symptoms: Coughing, runny nose, congestion
Release 12 — day 35, dose 2, dependent
Symptoms: Runny nose, congestion, throwing up mucus, ear infection
Release 12 — 3 months, dose 2, dependent
Symptoms: Fever, runny nose, coughing, congestion, lost her voice, sore throat, stomach pain.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site induration | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release