75B-16981-31778
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 484 / MI
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 675-20084-25146
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-30
Registered in v-safe
- 2022-06-30
- 2022-07-07
- 2022-07-14
-
2022-07-21
Dose 2 — Moderna
- 2022-07-21
-
2022-07-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Fatigue, Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tiredness could be due to not sleeping enough last night (vacation)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
-
2022-07-24
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Tired because he didn't sleep enough due to vacationMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
- 2022-07-27
- 2022-07-28
- 2022-08-04
-
2022-08-11
Survey response — day 21, dose 2, dependentMedDRA: Vomiting — Feeling: FairFree text: Threw up once this morningMedDRA releases: 2024-11 · check-in free text available
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-10-21
-
2022-12-07
Dose 3 — Pfizer-BioNTech
-
2022-12-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2022-12-09
- 2022-12-11
- 2022-12-12
- 2022-12-13
- 2022-12-14
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-20
- 2023-03-08
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
| 3 | 2022-12-07 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Tiredness could be due to not sleeping enough last night (vacation)
Systemic reaction (other): Tired because he didn't sleep enough due to vacation
Release 12 — day 21, dose 2, dependent
Symptoms: Threw up once this morning
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 | Vomiting | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release