4YL-21655-46238
2 vaccinations
1 coded response
21 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 296 / SC
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 3RH-16220-83059
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
- 2022-06-23
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · SleepinessUnder 3 check-in
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-29
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
-
2022-08-31
Survey response — day 42, dose 2, under 3MedDRA: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Congestion and mild fever. Covid Negative on one at home test and also on a PCR testMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Free text
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Congestion and mild fever. Covid Negative on one at home test and also on a PCR test
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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release