GT2-15542-47475
2 vaccinations
1 coded response
25 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 927 / CA
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- YXB-30734-08204
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
- 2022-06-21
-
2022-06-22
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Decreased appetite, Psychomotor hyperactivity — Feeling: Good · Site: PainFree text: Hyper! No appetite.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-07-26
Health check-in — day 7, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-10-18
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Hyper! No appetite.
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 | Decreased appetite | · | · | ✓ |
| SRO | Psychomotor hyperactivity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release