4EF-14429-70961
2 vaccinations
2 coded responses
16 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 841 / UT
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- QZG-18120-95352
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
-
2022-06-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Exposure to SARS-CoV-2, SARS-CoV-2 test negative, Sneezing — Feeling: Poor · Be unable to work or attend schoolFree text: Cough, sneeze - he was exposed to covid at daycare earlier this week, currently testing negative with home testsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-05
- 2022-07-12
- 2022-07-19
-
2022-07-22
Dose 2 — Moderna
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-10-23
-
2023-01-23
Survey response — 6 months, dose 2, dependentMedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-23
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Cough, sneeze - he was exposed to covid at daycare earlier this week, currently testing negative with home tests
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 | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release