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
-
2022-06-23
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-06-30
Survey response — day 7, dose 1, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2022-07-16
- 2022-07-21
-
2022-07-26
Dose 2 — Moderna
-
2022-07-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Pyrexia — Feeling: GoodFree text: She had a fever the day after the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-09-06
-
2022-10-25
Survey response — 3 months, dose 2, dependentMedDRA: Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: VomitingMedDRA releases: 2024-11 · check-in free text available
-
2023-01-28
Survey response — 6 months, dose 2, dependentMedDRA: Gastrointestinal disorder, Streptococcal infection — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Free text
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Congestion, cough
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): She had a fever the day after the shot
Release 12 — 3 months, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release