YSQ-13225-26815
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 921 / CA
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- YA4-29876-92221
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-06
- 2022-07-12
- 2022-07-19
-
2022-09-22
Survey response — 3 months, dose 1, dependentMedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold - stuffy nose, runny nose, coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-20
Survey response — 6 months, dose 1, dependentMedDRA: Abdominal pain upper — 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 · Outpatient clinic or urgent care clinic visitFree text: Intermittent severe stomach pain for a month that is now improvedMedDRA releases: 2024-11 · check-in free text available
-
2022-12-20
Report sent to call center — 6 months, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-20 | Successful 2022-12-21 |
Does not wish to fill out VAERS report |
Free text
Release 12 — 3 months, dose 1, dependent
Symptoms: Cold - stuffy nose, runny nose, coughing
Release 12 — 6 months, dose 1, dependent
Symptoms: Intermittent severe stomach pain for a month that is now improved
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 | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release