JQ4-62476-97230
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 591 / MT
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- YYE-31386-53191
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-08-12
Dose 1 — Moderna
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-27
- 2022-09-02
-
2022-09-09
Survey response — day 28, dose 1, under 3MedDRA: Ear infection, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Has a cold with ear infectionsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Dose 2 — Moderna
- 2022-09-12
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
-
2022-10-24
Survey response — day 42, dose 2, under 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Survey response — 3 months, dose 2, under 3MedDRA: Pyrexia, Viral upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Viral URI with feverMedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Report sent to call center — 3 months, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-12 | Moderna | No |
| 2 | 2022-09-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-13 | Unsuccessful |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Has a cold with ear infections
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Got COVID
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Viral URI with fever
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 | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release