95C-14131-34931
1 vaccination
2 coded responses
10 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 194 / PA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- TCT-16294-10687
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-24
Registered in v-safe
-
2022-06-24
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Diarrhoea, Immediate post-injection reaction — Feeling: GoodFree text: Yesterday had one diarrhea diaper an hour after vaccination but that's itMedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-30
-
2022-07-07
Survey response — day 14, dose 1, dependentMedDRA: Urticaria papular — Feeling: GoodFree text: Found out he has skeeter syndrome!MedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
- 2022-12-22
- 2023-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Yesterday had one diarrhea diaper an hour after vaccination but that's it
Release 12 — day 14, dose 1, dependent
Symptoms: Found out he has skeeter syndrome!
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 | Urticaria papular | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release