CJC-12790-12277
2 vaccinations
6 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 921 / CA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 36Y-10385-32994
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
-
2022-06-23
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Flushing — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Flushed red cheeks.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
-
2022-07-13
Survey response — day 21, dose 1, dependentMedDRA: Fatigue, Productive cough, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sudden high fever. Wet cough. Fatigue. Waiting on test results.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Survey response — day 28, dose 1, dependentMedDRA: Cough, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: High fever for 2+ days, overtired, nighttime cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-26
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
-
2022-09-06
Survey response — day 42, dose 2, dependentMedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Caught something last weekend, high fever for two days, tested negative for Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — 3 months, dose 2, dependentMedDRA: Bronchitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
-
2023-01-24
Survey response — 6 months, dose 2, dependentMedDRA: Nasopharyngitis, Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Flushed red cheeks.
Release 12 — day 21, dose 1, dependent
Symptoms: Sudden high fever. Wet cough. Fatigue. Waiting on test results.
Release 12 — day 28, dose 1, dependent
Symptoms: High fever for 2+ days, overtired, nighttime cough.
Release 12 — day 42, dose 2, dependent
Symptoms: Caught something last weekend, high fever for two days, tested negative for Covid.
Release 12 — 3 months, dose 2, dependent
Symptoms: Bronchitis
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release