5A2-49959-74118
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- E3L-12222-64061
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-07-01
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: Cough, Rhinorrhoea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Runny nose, cough · Healthcare visit (other): We scheduled an in office visit for tomorrowMedDRA releases: 2024-11 · check-in free text available
-
2022-07-06
Report sent to call center — day 14, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-13
- 2022-07-20
-
2022-07-22
Dose 2 — Moderna
- 2022-08-03
- 2022-08-07
- 2022-08-12
- 2022-08-19
- 2022-08-28
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, under 3MedDRA: Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Lev had a fever of 102.4F and tested positive for COVID on 10/11/22. He is feeling better and back to normal now.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-24
-
2022-10-24
Callback requested for03:30PM ET
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Runny nose, cough
Healthcare visit (other): We scheduled an in office visit for tomorrow
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Lev had a fever of 102.4F and tested positive for COVID on 10/11/22. He is feeling better and back to normal now.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release