53Q-97866-29439
1 vaccination
1 coded response
11 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 681 / NE
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 5TW-32925-70083
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Registered in v-safe
-
2022-06-26
Dose 1 — Moderna
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-07-02
- 2022-07-05
- 2022-07-12
-
2022-07-17
Survey response — day 21, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Covid symptoms. Runny nose and cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-31
- 2022-09-27
- 2022-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Covid symptoms. Runny nose and cough.
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 | Cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release