92L-30557-51108
3 vaccinations
2 coded responses
27 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 927 / CA
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- DHR-15251-61590
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Registered in v-safe
-
2022-06-26
Dose 1 — Moderna
- 2022-06-26
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-02
- 2022-07-03
- 2022-07-10
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-08-07
-
2022-08-08
Dose 2 — Moderna
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-14
-
2022-09-19
Survey response — day 42, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Got a cold from school. Runny nose and cough. Rapid tested for Covid 3 times - negative. 1 PCR - negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
-
2022-12-17
Dose 3 — Moderna
-
2023-02-06
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Pyrexia, Rhinorrhoea — 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 visitMedDRA releases: 2024-11
-
2023-02-06
Report sent to call center — 6 months, dose 2, dependentBe 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)
- 2023-02-07
-
2023-02-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-18
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
| 2 | 2022-08-08 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 42, dose 2, dependent
Symptoms: Got a cold from school. Runny nose and cough. Rapid tested for Covid 3 times - negative. 1 PCR - negative.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release