5ZA-30444-52390
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 064 / CT
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- D5U-21992-15127
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Cough, congestion not likely related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-10
- 2022-07-17
-
2022-07-24
Dose 2 — Moderna
- 2022-07-31
- 2022-08-07
-
2022-08-14
Survey response — day 21, dose 2, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, runny nose, low grade feverMedDRA releases: 2024-11 · check-in free text available
- 2022-08-21
- 2022-08-28
- 2022-09-04
- 2022-10-23
- 2023-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
| 2 | 2022-07-24 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Cough, congestion not likely related to vaccine
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Cough, runny nose, low grade fever
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 | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release