EFP-28122-61249
2 vaccinations
2 coded responses
4 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 347 / FL
- Registered
- 2023-01-22
- Relationship
- Child or adolescent in my care
- Guardian
- TUV-68785-89627
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-22
Dose 1 — Moderna
-
2022-12-13
Dose 2 — Moderna
-
2023-01-22
Registered in v-safe
-
2023-01-22
Survey response — day 35, dose 2, under 3MedDRA: Feeding disorder, Irritability, Poor quality sleep, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-26
- 2023-03-14
-
2023-06-15
Survey response — 6 months, dose 2, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Upper respiratory tract infection — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-22 | Moderna | No |
| 2 | 2022-12-13 | 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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release