EP3-16532-37493
2 vaccinations
5 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 113 / NY
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- L4P-53965-60815
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
- 2022-06-23
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-15
-
2022-07-20
Survey response — day 28, dose 1, dependentMedDRA: Asthenia, Decreased appetite, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Fever x 4 days, lower energy and appetite. COVID negative on PCR and home tests x2MedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Dose 2 — Moderna
- 2022-07-27
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-07-29
- 2022-07-30
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-08-03
-
2022-08-12
Survey response — day 14, dose 2, dependentMedDRA: Diarrhoea, Gastroenteritis viral — Feeling: Good · Be unable to work or attend schoolFree text: Stomach bug, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-08-17
- 2022-08-24
-
2022-09-03
Survey response — day 35, dose 2, dependentMedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever today, 102.2MedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Survey response — day 42, dose 2, dependentMedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Cough with sure throatMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
-
2023-01-25
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Gastroenteritis viral, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-25
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 28, dose 1, dependent
Symptoms: Fever x 4 days, lower energy and appetite. COVID negative on PCR and home tests x2
Release 12 — day 14, dose 2, dependent
Symptoms: Stomach bug, diarrhea
Release 12 — day 35, dose 2, dependent
Symptoms: Fever today, 102.2
Release 12 — day 42, dose 2, dependent
Symptoms: Cough with sure throat
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release