ZFB-22190-13930
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- UFT-22213-05468
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-27
- 2022-06-30
- 2022-07-05
-
2022-07-12
Survey response — day 21, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Survey response — day 28, dose 1, dependentMedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Runny nose cough fever 104MedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 28, 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 prEmergency room or emergency department visit · 1 call case(s)
-
2022-07-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-26
-
2022-09-20
Survey response — 3 months, dose 1, dependentMedDRA: Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Runny/stuffy noseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Runny nose
Release 12 — day 28, dose 1, dependent
Symptoms: Runny nose cough fever 104
Release 12 — 3 months, dose 1, dependent
Symptoms: Runny/stuffy nose
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 | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release