FEJ-51565-77227
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 275 / NC
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- PKV-20929-48779
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-30
Registered in v-safe
-
2022-06-30
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Irritability — Feeling: GoodFree text: Fussy (May be due to being overtired)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
- 2022-07-02
- 2022-07-09
-
2022-07-16
Survey response — day 21, dose 1, dependentMedDRA: Cough, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Dose 2 — Moderna
-
2022-08-06
Survey response — day 7, dose 2, dependentMedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-08-14
- 2022-08-19
- 2022-09-04
-
2022-09-09
Survey response — day 42, dose 2, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Covid infection- asymptomatic oMedDRA releases: 2024-11 · check-in free text available
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Fussy (May be due to being overtired)
Release 12 — day 21, dose 1, dependent
Symptoms: Fever, cough
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Nasal congestion
Release 12 — day 42, dose 2, dependent
Symptoms: Covid infection- asymptomatic o
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 | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release