XAS-29707-27181
3 vaccinations
3 coded responses
20 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 430 / OH
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- RHL-24400-76306
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
- 2022-06-27
- 2022-06-28
- 2022-07-14
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
-
2022-07-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-22
- 2022-07-23
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-10-18
-
2022-12-20
Dose 3 — Moderna
-
2023-01-17
Survey response — day 28, dose 3, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-01-17
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-24
- 2023-03-23
-
2023-06-23
Survey response — 6 months, dose 3, dependentMedDRA: Norovirus infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
| 3 | 2022-12-20 | Moderna | No |
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 | COVID-19 | · | · | ✓ |
| SD | Norovirus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release