KU4-52582-74657
1 vaccination
4 coded responses
8 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 070 / NJ
- Registered
- 2022-08-02
- Relationship
- Child or adolescent in my care
- Guardian
- 87X-14666-57168
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-23
Dose 1 — Moderna
-
2022-08-02
Registered in v-safe
- 2022-08-02
-
2022-08-07
Survey response — day 14, dose 1, dependentMedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-15
Survey response — day 21, dose 1, dependentMedDRA: Coxsackie viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CoxsackieMedDRA releases: 2024-11 · check-in free text available
-
2022-08-15
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-08-22
Survey response — day 28, dose 1, dependentMedDRA: Nasopharyngitis — Feeling: GoodFree text: Just a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-08-28
Survey response — day 35, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose and cough so we postponed the second shot. Hoping to get next weekMedDRA releases: 2024-11 · check-in free text available
- 2022-09-03
- 2022-10-22
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Congestion
Release 12 — day 21, dose 1, dependent
Symptoms: Coxsackie
Release 12 — day 28, dose 1, dependent
Symptoms: Just a cold
Release 12 — day 35, dose 1, dependent
Symptoms: Runny nose and cough so we postponed the second shot. Hoping to get next week
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 | Coxsackie viral infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release