53J-13263-91995
4 vaccinations
2 coded responses
45 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 376 / TN
- Registered
- 2022-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- K4D-20285-11342
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Moderna
-
2022-07-01
Registered in v-safe
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-07-27
Dose 2 — Moderna
- 2022-07-27
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
-
2022-08-03
Survey response — day 7, dose 2, dependentMedDRA: Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend schoolFree text: Strep throat positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-08-10
- 2022-08-17
- 2022-08-24
-
2022-08-29
Dose 3 — Moderna
- 2022-08-31
- 2022-08-31
- 2022-09-01
- 2022-09-02
- 2022-09-03
- 2022-09-04
- 2022-09-05
-
2022-09-12
Survey response — day 14, dose 3, dependentMedDRA: Ear infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Report sent to call center — day 14, dose 3, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-11-28
-
2023-01-04
Dose 4 — Moderna
- 2023-01-05
- 2023-01-06
- 2023-01-07
- 2023-01-08
- 2023-01-09
- 2023-01-10
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
- 2023-02-15
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
| 2 | 2022-07-27 | Moderna | No |
| 3 | 2022-08-29 | Moderna | No |
| 4 | 2023-01-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Strep throat positive
Release 12 — day 14, dose 3, dependent
Symptoms: Ear infection
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 | Ear infection | · | · | ✓ |
| SRO | Pharyngitis streptococcal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release