F3K-17340-08366
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 53S-37830-76870
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-16
-
2022-07-25
Survey response — day 28, dose 1, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Dose 2 — Moderna
-
2022-07-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Irritability — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: IrritableMedDRA releases: 2024-11 · check-in free text available
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-09-09
-
2022-10-30
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 — day 28, dose 1, dependent
Symptoms: Cough, congestion
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Irritable
Release 12 — 3 months, dose 2, dependent
Symptoms: Cough, congestion
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 | Respiratory tract congestion | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release