5QH-31718-81575
2 vaccinations
1 coded response
24 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 917 / CA
- Registered
- 2022-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- Q24-17533-47322
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-01
Registered in v-safe
-
2022-07-01
Dose 1 — Moderna
- 2022-07-01
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-15
-
2022-07-22
Survey response — day 21, dose 1, under 3MedDRA: Decreased appetite, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a fever x3 days, (07/18/22-07/20/22) and lack of appetite; no additional symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Dose 2 — Moderna
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-09-10
- 2022-10-28
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Had a fever x3 days, (07/18/22-07/20/22) and lack of appetite; no additional symptoms.
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 | Decreased appetite | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release