FPD-17793-08719
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 070 / NJ
- Registered
- 2022-07-17
- Relationship
- Child or adolescent in my care
- Guardian
- SLG-89875-51413
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-07-17
Registered in v-safe
-
2022-07-17
Survey response — day 21, dose 1, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for COVID 19 on July 3 and had a slight fever, cough, and runny nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-24
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Tremor — Feeling: Fair · Fever · Irritability/crying · Be unable to do your normal daily activitiesFree text: ShakingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
-
2022-07-26
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesFree text: Cough, congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Coughing, congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-07-29
Survey response — day 7, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Coughing, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Tested positive for COVID 19 on July 3 and had a slight fever, cough, and runny nose.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Shaking
Systemic reaction (other): Cough, congestion, runny nose
Systemic reaction (other): Coughing, congestion, runny nose
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Coughing, runny nose
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 | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release