3HW-12207-96622
3 vaccinations
3 coded responses
39 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 786-54917-30587
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-24
Dose 1 — Moderna
- 2022-06-25
-
2022-06-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain — Feeling: GoodFree text: He told me today that his armpit was sore (on the side where he got the vaccine). I couldn't feel any lymph nodes.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Self-medication — Feeling: GoodFree text: Still complained of left armpit pain this morning (side he got the shot on). I gave him Motrin and now he hasn't mentioned it the rest of the dayMedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-07-29
- 2022-08-05
-
2022-08-13
Dose 2 — Moderna
- 2022-08-13
-
2022-08-14
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Armpit pain on the side he got the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-20
- 2022-08-27
- 2022-09-03
- 2022-09-10
- 2022-09-17
- 2022-09-24
- 2022-11-12
-
2022-12-17
Dose 3 — Moderna
- 2022-12-17
-
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
- 2022-12-23
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-01-21
- 2023-01-28
- 2023-03-18
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-08-13 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He told me today that his armpit was sore (on the side where he got the vaccine). I couldn't feel any lymph nodes.
Systemic reaction (other): Still complained of left armpit pain this morning (side he got the shot on). I gave him Motrin and now he hasn't mentioned it the rest of the day
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Armpit pain on the side he got the shot
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release