L5Y-31400-58534
3 vaccinations
8 coded responses
33 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 496 / MI
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- PDU-22797-47604
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-07-07
Dose 1 — Moderna
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
-
2022-07-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-13
- 2022-07-14
-
2022-07-21
Survey response — day 14, dose 1, dependentMedDRA: Cough, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough, vomiting, and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
-
2022-08-04
Dose 2 — Moderna
- 2022-08-04
-
2022-08-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-07
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — day 28, dose 2, dependentMedDRA: Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-08
-
2022-09-17
Survey response — day 42, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
-
2023-01-11
Dose 3 — Moderna
-
2023-01-14
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2023-01-15
- 2023-01-16
- 2023-01-17
- 2023-01-18
- 2023-01-25
-
2023-02-01
Survey response — day 21, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
-
2023-02-08
Survey response — day 28, dose 3, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
-
2023-02-15
Survey response — day 35, dose 3, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-02-22
-
2023-04-12
Survey response — 3 months, dose 3, dependentMedDRA: Conjunctivitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-07 | Moderna | No |
| 2 | 2022-08-04 | Moderna | No |
| 3 | 2023-01-11 | Moderna | No |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Cough, vomiting, and runny nose
Release 12 — day 28, dose 2, dependent
Symptoms: Fever and runny nose
Release 12 — day 42, dose 2, dependent
Symptoms: Runny nose
Release 12 — 3 months, dose 2, dependent
Symptoms: Runny nose and cough
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release