JQA-32240-01673
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 730 / OK
- Registered
- 2022-07-06
- Relationship
- Child or adolescent in my care
- Guardian
- UCX-30283-93996
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-02
Dose 1 — Moderna
-
2022-07-06
Registered in v-safe
-
2022-07-06
Survey response — days 1–6 daily, dose 1, dependentMedDRA: SARS-CoV-2 test positive — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: Tested positive for covid todayMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Survey response — days 1–6 daily, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Has covid- only reason he had to miss daycare he feels fineMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · None · Be unable to work or attend schoolAdult check-in
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
-
2022-08-13
Dose 2 — Moderna
-
2022-08-13
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-08-15
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-27
- 2022-09-03
- 2022-09-10
- 2022-09-17
-
2022-09-26
Survey response — day 42, dose 2, dependentMedDRA: Cough, Pyrexia, Viral infection — Feeling: Poor · Be unable to work or attend schoolFree text: Fever and cough- virusMedDRA releases: 2024-11 · check-in free text available
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-02 | Moderna | No |
| 2 | 2022-08-13 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Tested positive for covid today
Systemic reaction (other): Has covid- only reason he had to miss daycare he feels fine
Release 12 — day 42, dose 2, dependent
Symptoms: Fever and cough- virus
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 | Viral infection | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release