CWR-14718-12253
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 152 / PA
- Registered
- 2022-07-23
- Relationship
- Child or adolescent in my care
- Guardian
- MTW-80901-30120
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-22
Dose 1 — Moderna
-
2022-07-23
Registered in v-safe
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
-
2022-08-05
Survey response — day 14, dose 1, under 3MedDRA: Exposure to SARS-CoV-2, Rhinorrhoea — Feeling: GoodFree text: Runny nose increased on 7/30, likely from daycare sniffles. He was also exposed to COVID at daycare, informed on Wednesday, 8/3, likely exposed on 8/2 or 8/1MedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Survey response — day 21, dose 1, under 3MedDRA: Cough, Exposure to SARS-CoV-2, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose and occasional cough. Was tested for COVID due to exposure at daycare and all 3 tests have been negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Report sent to call center — day 21, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
- 2022-08-19
-
2022-08-22
Dose 2 — Moderna
-
2022-08-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-26
- 2022-08-27
- 2022-08-29
- 2022-09-05
- 2022-09-12
-
2022-09-19
Survey response — day 28, dose 2, under 3MedDRA: Pre-existing disease, Rash, Rash erythematous, Urticaria — Feeling: GoodFree text: Little red bumps on thigh, likely hives from food allergyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-10-03
- 2022-11-21
- 2023-02-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-22 | Moderna | No |
| 2 | 2022-08-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Runny nose increased on 7/30, likely from daycare sniffles. He was also exposed to COVID at daycare, informed on Wednesday, 8/3, likely exposed on 8/2 or 8/1
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Runny nose and occasional cough. Was tested for COVID due to exposure at daycare and all 3 tests have been negative
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Little red bumps on thigh, likely hives from food allergy
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 | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release