YJ8-30501-82696
2 vaccinations
2 coded responses
10 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 840 / UT
- Registered
- 2022-10-20
- Relationship
- Child or adolescent in my care
- Guardian
- 5VZ-24527-95683
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-20
Registered in v-safe
-
2022-10-20
Dose 1 — ModernaCo-administered: Do not remember:Flu:Tetanus
-
2022-10-21
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-10-23
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Crying — Feeling: Fair · Irritability/cryingFree text: I missed reporting yesterday, but yesterday, she was inconsolable without pain medicationMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-10-27
-
2022-11-19
Survey response — day 28, dose 1, under 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms with congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
-
2022-12-13
Dose 2 — Moderna
- 2022-12-13
- 2022-12-16
- 2023-01-12
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-20 | Moderna | Do not remember:Flu:Tetanus |
| 2 | 2022-12-13 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): I missed reporting yesterday, but yesterday, she was inconsolable without pain medication
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Cold symptoms with congestion
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 | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Crying | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release