AWR-27116-40529
3 vaccinations
6 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 607 / IL
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 9VW-34581-06469
- 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, under 3MedDRA: Middle insomnia — Feeling: Good · Site: PainFree text: Last night he woke up a lotMedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-02
-
2022-07-09
Survey response — day 14, dose 1, under 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Runny nose/little bit of congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Survey response — day 21, dose 1, under 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Runny nose with a bit of congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Dose 2 — Moderna
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-23
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-06
- 2022-08-11
-
2022-08-18
Survey response — day 28, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Slight cough and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-09-01
-
2022-10-20
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Croup infectious, Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: He had some kind of resp infection/virus and had croup from it for about a week and has a lingering cough (much more infrequently this week than last week)MedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-21
-
2022-11-11
Dose 3 — Moderna
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-27
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
-
2023-02-10
Survey response — 3 months, dose 3, under 3MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
| 3 | 2022-11-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Last night he woke up a lot
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Runny nose/little bit of congestion
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Runny nose with a bit of congestion
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Slight cough and runny nose
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: He had some kind of resp infection/virus and had croup from it for about a week and has a lingering cough (much more infrequently this week than last week)
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 | Croup infectious | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release