AXK-22297-93360
3 vaccinations
1 coded response
24 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 217 / MD
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- HFK-20530-01144
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-27
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-21
- 2022-08-26
- 2022-09-02
- 2022-10-23
-
2022-10-28
Dose 3 — Pfizer-BioNTech
- 2022-11-13
- 2022-11-20
-
2022-12-04
Survey response — day 35, dose 3, dependentMedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Stomach bugMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2023-01-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2022-10-28 | Pfizer-BioNTech | No |
Free text
Release 12 — day 35, dose 3, dependent
Symptoms: Stomach bug
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 | Gastroenteritis viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release