3HU-26272-86200
2 vaccinations
2 coded responses
16 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 463 / IN
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- BJC-68055-51739
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
- 2022-06-21
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-26
- 2022-06-30
- 2022-07-05
- 2022-07-12
- 2022-07-19
-
2022-07-26
Dose 2 — Moderna
-
2022-07-26
Health check-in — day 0, dose 2, under 3Feeling: Good · Sleepiness, Loss of appetiteUnder 3 check-in
- 2022-07-29
- 2022-08-01
-
2022-08-02
Survey response — day 7, dose 2, under 3MedDRA: Unevaluable event — Feeling: Fair · Sleepiness, Irritability/cryingFree text: Maybe teethingMedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-08-30
-
2023-01-24
Survey response — 6 months, dose 2, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Free text
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Maybe teething
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 | Respiratory tract congestion | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release