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
-
2022-07-01
Dose 1 — Moderna
-
2022-07-29
Dose 2 — Moderna
-
2022-07-30
Registered in v-safe
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-31
-
2022-08-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Abdominal pain, Constipation — Feeling: Good · Abdominal painFree text: Abdominal pain is likely from constipation unrelated to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
-
2022-09-02
Survey response — day 35, dose 2, dependentMedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
-
2022-09-10
Survey response — day 42, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Abdominal pain is likely from constipation unrelated to vaccine
Release 12 — day 35, dose 2, dependent
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release