6LC-18057-32497
2 vaccinations
2 coded responses
3 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 229 / VA
- Registered
- 2022-09-17
- Relationship
- Child or adolescent in my care
- Guardian
- CRG-23103-58574
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-15
Dose 1 — Moderna
-
2022-08-12
Dose 2 — Moderna
-
2022-09-17
Registered in v-safe
- 2022-09-17
-
2022-09-23
Survey response — day 42, dose 2, under 3MedDRA: Upper respiratory tract infection — 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 · Outpatient clinic or urgent care clinic visitFree text: URIMedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Report sent to call center — day 42, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-13
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection, Viral infection — 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 · Outpatient clinic or urgent care clinic visitFree text: He started daycare around the same time and has had virus after virus and several ear infections. No reason to think it's related to the vaccination.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-13
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-15 | Moderna | No |
| 2 | 2022-08-12 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: URI
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: He started daycare around the same time and has had virus after virus and several ear infections. No reason to think it's related to the vaccination.
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 | Ear infection | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release