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XM6-23884-05699

2 vaccinations 4 coded responses 17 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
381 / TN
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
YMG-33009-07909
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2022-06-30
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good
    Free text: Congestion, cough
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-07-07
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2022-07-16
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-21
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-26
    Dose 2 — Moderna
  9. 2022-07-29
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Pyrexia — Feeling: Good
    Free text: She had a fever the day after the shot
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-02
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-09
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-08-16
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-08-23
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-08-30
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-09-06
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-10-25
    Survey response — 3 months, dose 2, dependent
    MedDRA: Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Vomiting
    MedDRA releases: 2024-11 · check-in free text available
  20. 2023-01-28
    Survey response — 6 months, dose 2, dependent
    MedDRA: Gastrointestinal disorder, Streptococcal infection — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-26Moderna No

Free text

Release 12 — day 7, dose 1, dependent

2022-06-30

Systemic reaction (other): Congestion, cough

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-29

Systemic reaction (other): She had a fever the day after the shot

Release 12 — 3 months, dose 2, dependent

2022-10-25

Symptoms: Vomiting

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

FieldPreferred term2021-092023-042024-11
SDGastrointestinal disorder · · ✓
SDStreptococcal infection · · ✓
SDVomiting · · ✓
SROCough · · ✓
SROPyrexia · · ✓
SRORespiratory tract congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release