64E-27584-14048
2 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 956 / CA
- Registered
- 2022-11-10
- Relationship
- Child or adolescent in my care
- Guardian
- ZWM-56589-92298
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-22
Dose 1 — Moderna
-
2022-09-20
Dose 2 — ModernaCo-administered: Flu
-
2022-11-10
Registered in v-safe
-
2022-12-20
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Dehydration, Respiratory tract congestion — Feeling: Poor · 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 consultationFree text: Cough, congestion, dehydrationMedDRA releases: 2024-11 · check-in free text available
-
2022-12-20
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 · 1 call case(s)
- 2022-12-21
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-22 | Moderna | No |
| 2 | 2022-09-20 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Cough, congestion, dehydration
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 | Dehydration | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release