4QT-90229-26986
2 vaccinations
0 coded responses
23 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 431 / OH
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- W79-25553-78422
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-07
- 2022-07-14
-
2022-07-21
Dose 2 — Moderna
- 2022-07-21
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-07-25
- 2022-07-26
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-10-20
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Free text
None.
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
No MedDRA codes.