EU8-22781-23585
1 vaccination
3 coded responses
10 check-ins
0 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 853 / AZ
- Registered
- 2022-09-18
- Relationship
- Child or adolescent in my care
- Guardian
- 95X-12858-97451
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-09-18
Registered in v-safe
-
2022-09-26
Dose 1 — ModernaCo-administered: Flu
-
2022-09-26
Health check-in — day 0, dose 1, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
-
2022-09-27
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain, Groin or underarm swelling/tenderness · Fever · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-09-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-10-01
- 2022-10-03
-
2022-10-10
Survey response — day 14, dose 1, under 3MedDRA: Office visit, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2022-10-10
Report sent to call center — day 14, dose 1, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-19
-
2022-12-26
Survey response — 3 months, dose 1, under 3MedDRA: Ear infection, Pharyngitis, Wheezing — Feeling: Poor · 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
-
2022-12-26
Report sent to call center — 3 months, dose 1, under 3Be 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)
- 2022-12-28
- 2022-12-28
- 2023-01-03
- 2023-01-03
-
2023-03-27
Survey response — 6 months, dose 1, under 3MedDRA: Adverse reaction, Asthma, Respiratory tract infection — 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
-
2023-03-27
Report sent to call center — 6 months, dose 1, under 3Be 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)
- 2023-03-28
- 2023-03-28
- 2023-03-28
- 2023-03-31
- 2023-03-31
- 2023-03-31
- 2023-04-03
-
2023-04-03
Callback requested for10:00AM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-26 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Pharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release