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EA6-22015-91684

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
631 / MO
Registered
2022-07-30
Relationship
Child or adolescent in my care
Guardian
HM9-30638-62846
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-01
    Dose 1 — Moderna
  2. 2022-07-29
    Dose 2 — Moderna
  3. 2022-07-30
    Registered in v-safe
  4. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-08-01
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Abdominal pain, Constipation — Feeling: Good · Abdominal pain
    Free text: Abdominal pain is likely from constipation unrelated to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-08-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-08-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-08-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-08-26
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-09-02
    Survey response — day 35, dose 2, dependent
    MedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Started preschool so already has his first head cold with a fever. He'd have had to miss school if he had it today. COVID test was negative.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-09-10
    Survey response — day 42, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose and cough
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-10-30
  17. 2023-01-27

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Moderna No
22022-07-29Moderna No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-01

Systemic reaction (other): Abdominal pain is likely from constipation unrelated to vaccine

Release 12 — day 35, dose 2, dependent

2022-09-02

Symptoms: Started preschool so already has his first head cold with a fever. He'd have had to miss school if he had it today. COVID test was negative.

Release 12 — day 42, dose 2, dependent

2022-09-10

Symptoms: Runny nose and cough

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAbdominal pain · · ✓
SROConstipation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release