GHA-26187-34700
2 vaccinations
3 coded responses
15 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 801 / CO
- Registered
- 2023-03-22
- Relationship
- Child or adolescent in my care
- Guardian
- CCL-14001-75322
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-03-11
Dose 1 — Moderna
-
2023-03-22
Registered in v-safe
- 2023-03-22
- 2023-03-25
-
2023-04-01
Survey response — day 21, dose 1, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-08
Survey response — day 28, dose 1, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-10
Dose 2 — Moderna
- 2023-04-10
- 2023-04-11
- 2023-04-12
- 2023-04-13
- 2023-04-14
- 2023-04-17
- 2023-04-24
- 2023-05-01
- 2023-05-08
- 2023-05-15
-
2023-05-24
Survey response — day 42, dose 2, under 3MedDRA: Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-03-11 | Moderna | No |
| 2 | 2023-04-10 | 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 | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release