X2J-19761-91890
3 vaccinations
2 coded responses
39 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 535 / WI
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- 2VJ-20392-47077
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
- 2022-06-25
- 2022-06-26
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
-
2022-08-15
Dose 2 — Moderna
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
-
2022-08-29
Survey response — day 14, dose 2, dependentMedDRA: Laboratory test abnormal, Smear vagina, Vulvovaginitis streptococcal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: She had a vaginal strep infection. Diagnosis confirmed with a swab (culture grew strep). Treated with penicillin.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-29
Report sent to call center — day 14, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-30
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-09-26
- 2022-11-14
-
2023-01-06
Dose 3 — Moderna
-
2023-01-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2023-01-08
- 2023-01-09
- 2023-01-10
- 2023-01-11
- 2023-01-12
- 2023-01-13
- 2023-01-20
-
2023-01-27
Survey response — day 21, dose 3, dependentMedDRA: Gastroenteritis viral, Poor school attendance, Vomiting — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-03
- 2023-02-10
- 2023-02-17
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-08-15 | Moderna | No |
| 3 | 2023-01-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: She had a vaginal strep infection. Diagnosis confirmed with a swab (culture grew strep). Treated with penicillin.
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Poor school attendance | · | · | ✓ |
| SD | Smear vagina | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Vulvovaginitis streptococcal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release