ENJ-28563-09521
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 064 / CT
- Registered
- 2022-10-04
- Relationship
- Child or adolescent in my care
- Guardian
- HAG-11674-39556
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-10-03
Dose 1 — Moderna
-
2022-10-04
Registered in v-safe
- 2022-10-04
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
-
2022-10-17
Survey response — day 14, dose 1, under 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — day 21, dose 1, under 3MedDRA: Pyrexia — Feeling: GoodFree text: Fever one nightMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Dose 2 — Moderna
- 2022-10-31
- 2022-11-01
- 2022-11-03
- 2022-11-04
- 2022-11-06
- 2022-11-07
-
2022-11-14
Survey response — day 14, dose 2, under 3MedDRA: Conjunctivitis — 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: ConjunctivitisMedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — day 14, dose 2, 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)
- 2022-11-15
- 2022-11-22
- 2022-11-22
- 2022-11-28
- 2022-12-05
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-12
- 2023-01-30
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-03 | Moderna | No |
| 2 | 2022-10-31 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Congestion
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever one night
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Conjunctivitis
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 | Conjunctivitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release