2UB-80824-37006
2 vaccinations
0 coded responses
21 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 752 / TX
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- RQS-21220-02476
- Race
- White
- 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
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
-
2022-07-19
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Pain, Swelling/hardness · Irritability/cryingUnder 3 check-in
-
2022-07-20
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain, Swelling/hardness · NoneUnder 3 check-in
- 2022-07-21
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Diarrhea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2022-07-25
Report sent to call center — days 1–6 daily, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-26
Health check-in — day 7, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-10-18
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
None.
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
No MedDRA codes.