4HZ-21142-66424
3 vaccinations
8 coded responses
36 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 93S-14267-71388
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
-
2022-06-22
Survey response — day 0, dose 1, dependentMedDRA: Decreased appetite — Feeling: GoodFree text: Perhaps a slight reduction in appetite (but it could have just been what we served for dinner :/)MedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
- 2022-06-25
-
2022-06-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Diarrhoea — Feeling: GoodFree text: Loose stools x2 (not quite diarrhea; possibly food-related)MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Body temperature increased, Rhinorrhoea — Feeling: FairFree text: Runny nose started this morning. Elevated temp 99.9; otherwise fine.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Still has a runny nose; otherwise fine!MedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · NoneAdult check-in
-
2022-07-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Diarrhoea — Feeling: Good · Site: PainFree text: Looser-than-typical stoolsMedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
-
2022-07-26
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Diarrhoea — Feeling: GoodFree text: Again, some looser than usual stools, but could be attributable to something else (e.g., diet)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2022-12-16
Dose 3 — Moderna
-
2022-12-17
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · FeverFree text: Cold-like symptomsmost likely because he already had a cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-18
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
-
2022-12-23
Survey response — day 7, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · FeverFree text: Got 4-year boosters yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-01
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-03-17
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2022-12-16 | Moderna | No |
Free text
Release 12 — day 0, dose 1, dependent
Systemic reaction (other): Perhaps a slight reduction in appetite (but it could have just been what we served for dinner :/)
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Loose stools x2 (not quite diarrhea; possibly food-related)
Systemic reaction (other): Runny nose started this morning. Elevated temp 99.9; otherwise fine.
Systemic reaction (other): Still has a runny nose; otherwise fine!
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Looser-than-typical stools
Systemic reaction (other): Again, some looser than usual stools, but could be attributable to something else (e.g., diet)
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Cold-like symptomsmost likely because he already had a cold.
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Got 4-year boosters yesterday.
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 | Body temperature increased | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release