39M-62880-53936
3 vaccinations
4 coded responses
27 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 958 / CA
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- ECR-62593-46090
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — Moderna
- 2022-06-30
- 2022-07-01
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-07-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-07-05
- 2022-07-06
- 2022-07-09
- 2022-07-14
- 2022-07-21
- 2022-07-28
- 2022-08-04
-
2022-08-11
Survey response — day 42, dose 1, dependentMedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, fever, sore throat, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Dose 2 — Moderna
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
-
2022-09-01
Survey response — day 14, dose 2, dependentMedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Survey response — day 21, dose 2, dependentMedDRA: Head injury — Feeling: Good · Be unable to work or attend schoolFree text: Head injury - ran into a pole at school during recessMedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-22
- 2022-09-29
- 2022-11-17
-
2023-01-03
Dose 3 — Pfizer-BioNTech
-
2023-02-07
Survey response — day 35, dose 3, dependentMedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-14
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-08-18 | Moderna | No |
| 3 | 2023-01-03 | Pfizer-BioNTech | No |
Free text
Release 12 — day 42, dose 1, dependent
Symptoms: Cough, fever, sore throat, runny nose
Release 12 — day 14, dose 2, dependent
Symptoms: Runny nose, sneezing
Release 12 — day 21, dose 2, dependent
Symptoms: Head injury - ran into a pole at school during recess
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 | Head injury | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release