EZU-13316-00887
2 vaccinations
2 coded responses
8 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 139 / NY
- Registered
- 2022-10-01
- Relationship
- Child or adolescent in my care
- Guardian
- WTH-30564-95643
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-26
Dose 1 — Moderna
-
2022-09-23
Dose 2 — Moderna
-
2022-10-01
Registered in v-safe
- 2022-10-01
- 2022-10-07
- 2022-10-16
- 2022-10-21
-
2022-10-28
Survey response — day 35, dose 2, dependentMedDRA: Cough, Fatigue, Irritability, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough Congestion Irritability FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-12-23
-
2023-03-26
Survey response — 6 months, dose 2, dependentMedDRA: Diarrhoea, Respiratory symptom, Vomiting — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-26 | Moderna | No |
| 2 | 2022-09-23 | Moderna | No |
Free text
Release 12 — day 35, dose 2, dependent
Symptoms: Cough Congestion Irritability Fatigue
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release