4BX-12208-38624
3 vaccinations
3 coded responses
30 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 232 / VA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- QGN-26576-81231
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
-
2022-06-29
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pain in extremity — Feeling: Good · Joint painsFree text: He said his hand of the arm where he was vaccinated hurt.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-02
- 2022-07-06
- 2022-07-12
- 2022-07-19
-
2022-07-25
Dose 2 — Moderna
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-28
- 2022-07-29
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-22
- 2022-08-29
-
2022-09-05
Survey response — day 42, dose 2, dependentMedDRA: Cough, Fatigue, Pain, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Coughing, fatigue, body aches, vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-25
- 2022-12-01
-
2023-01-20
Survey response — 3 months, dose 3, dependentMedDRA: Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — 3 months, dose 3, dependentBe 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)
- 2023-01-23
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
| 3 | 2022-10-20 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He said his hand of the arm where he was vaccinated hurt.
Release 12 — day 42, dose 2, dependent
Symptoms: Coughing, fatigue, body aches, vomiting
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 | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release