24J-96538-19147
2 vaccinations
4 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 190 / PA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- KFJ-28676-73133
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-10-11
Dose 1 — Moderna
-
2022-11-08
Dose 2 — Moderna
-
2022-11-09
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-10
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-11
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Loss of appetite, Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-12
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-13
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Sleepiness, Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/crying, Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-15
Health check-in — day 7, dose 2, under 3Feeling: Fair · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-22
Survey response — day 14, dose 2, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Coughing, congestedMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
-
2022-12-06
Survey response — day 28, dose 2, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stuffy, running nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-20
-
2023-02-07
Survey response — 3 months, dose 2, under 3MedDRA: Bronchiolitis, Ear infection — 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 visitMedDRA releases: 2024-11
-
2023-02-07
Report sent to call center — 3 months, dose 2, under 3Be 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)
- 2023-02-08
-
2023-05-09
Survey response — 6 months, dose 2, under 3MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-11 | Moderna | No |
| 2 | 2022-11-08 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Coughing, congested
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Stuffy, running nose, cough
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 | Bronchiolitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release