XGJ-26243-94790
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- J33-15388-79557
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
- 2022-07-05
-
2022-07-12
Survey response — day 21, dose 1, dependentMedDRA: COVID-19, Headache, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: covid-19 - fever, headache, body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-13
- 2022-07-19
-
2022-07-26
Survey response — day 35, dose 1, dependentMedDRA: Ear infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: ear infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
-
2022-09-20
Survey response — 3 months, dose 1, dependentMedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Elizabeth has had a couple colds since starting a new schoolMedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-12 | Unsuccessful |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: covid-19 - fever, headache, body aches
Release 12 — day 35, dose 1, dependent
Symptoms: ear infection
Release 12 — 3 months, dose 1, dependent
Symptoms: Elizabeth has had a couple colds since starting a new school
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 | Ear infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release