FPW-15980-88314
2 vaccinations
1 coded response
7 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 117 / NY
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- R8F-19310-43517
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-07-09
Dose 1 — Moderna
-
2022-08-06
Dose 2 — Moderna
- 2022-08-19
- 2022-08-20
- 2022-08-28
- 2022-09-06
- 2022-09-19
- 2022-11-07
-
2023-02-04
Survey response — 6 months, dose 2, dependentMedDRA: Nasopharyngitis, Respiratory tract infection viral — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-06 | Moderna | No |
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 |
|---|---|---|---|---|
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release