XP6-42924-79633
1 vaccination
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- DL5-19715-88342
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
-
2022-07-07
Survey response — day 14, dose 1, under 3MedDRA: Diarrhoea, Nasal congestion — Feeling: FairFree text: Diarrhea and nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Survey response — day 21, dose 1, under 3MedDRA: Cough, Diarrhoea, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Diarrhea, cough and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
-
2022-09-23
Survey response — 3 months, dose 1, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea, Upper respiratory tract infection — Feeling: GoodFree text: upper respiratory infections involving runny nose, cough, and some feversMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Diarrhea and nasal congestion
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Diarrhea, cough and runny nose
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: upper respiratory infections involving runny nose, cough, and some fevers
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release