5KX-28516-63398
2 vaccinations
2 coded responses
8 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2023-03-22
- Relationship
- Child or adolescent in my care
- Guardian
- 3W5-31726-64600
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-02-15
Dose 1 — ModernaCo-administered: Flu:MMR:Rotavirus:Tetanus
-
2023-03-21
Dose 2 — ModernaCo-administered: Flu
-
2023-03-22
Registered in v-safe
-
2023-03-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
-
2023-03-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
-
2023-03-26
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Pharyngitis streptococcal — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-04-04
Survey response — day 14, dose 2, under 3MedDRA: Respiratory tract congestion — Feeling: FairMedDRA releases: 2024-11
- 2023-04-11
- 2023-04-18
- 2023-04-25
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-02-15 | Moderna | Flu:MMR:Rotavirus:Tetanus |
| 2 | 2023-03-21 | Moderna | Flu |
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pharyngitis streptococcal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release