FUC-13977-62135
1 vaccination
3 coded responses
6 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 210 / MD
- Registered
- 2022-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- 3RG-27218-25155
- Race
- Asian
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-11-23
Registered in v-safe
-
2022-11-23
Dose 1 — Moderna
-
2022-11-23
Health check-in — day 0, dose 1, under 3Feeling: Good · Site: Redness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-11-24
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough — Feeling: Good · Site: Redness · Irritability/cryingFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough — Feeling: Good · Irritability/cryingFree text: Mild coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Survey response — day 7, dose 1, under 3MedDRA: Cough — Feeling: Good · Irritability/cryingFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-23 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Cough
Systemic reaction (other): Mild cough
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Cough
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 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release