9JR-18432-96688
3 vaccinations
5 coded responses
14 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 926 / CA
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- J8X-11592-96014
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-09
Dose 1 — Moderna
-
2022-07-13
Registered in v-safe
-
2022-07-13
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain · Irritability/cryingUnder 3 check-in
- 2022-07-16
- 2022-07-23
- 2022-07-30
-
2022-08-09
Dose 2 — Moderna
-
2022-08-21
Survey response — day 7, dose 2, under 3MedDRA: Emergency care, Hypoxia, Office visit, Wheezing — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Wheeze. Was taken to ER by ambulance from pediatrician office last Monday for hypoxia.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-21
Report sent to call center — day 7, 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-22
-
2022-08-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-23
- 2022-08-30
- 2022-09-08
- 2022-09-13
- 2022-09-20
-
2022-11-08
Survey response — 3 months, dose 2, under 3MedDRA: Cough — Feeling: Fair · 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: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
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)
- 2022-11-09
-
2022-12-22
Dose 3 — ModernaCo-administered: Flu
-
2023-02-07
Survey response — 6 months, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
-
2023-03-23
Survey response — 3 months, dose 3, under 3MedDRA: Exposure to SARS-CoV-2 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-06-22
Survey response — 6 months, dose 3, under 3MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-09 | Moderna | No |
| 3 | 2022-12-22 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Wheeze. Was taken to ER by ambulance from pediatrician office last Monday for hypoxia.
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Cough
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Hypoxia | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release