CQ4-71180-49744
3 vaccinations
2 coded responses
34 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 9KU-12143-22337
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-06-29
Dose 1 — Moderna
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-07-27
Dose 2 — Moderna
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-17
- 2022-08-26
- 2022-08-31
- 2022-09-07
- 2022-10-26
-
2022-12-17
Dose 3 — Moderna
-
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-12-20
- 2022-12-21
- 2022-12-22
-
2022-12-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-01-21
-
2023-01-28
Survey response — day 42, dose 3, dependentMedDRA: Croup infectious, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-03-20
-
2023-06-17
Survey response — 6 months, dose 3, dependentMedDRA: Molluscum contagiosum, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
| 2 | 2022-07-27 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Free text
None.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Molluscum contagiosum | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release