NHE-21466-14113
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 111 / NY
- Registered
- 2022-07-11
- Relationship
- Child or adolescent in my care
- Guardian
- VSC-21880-04682
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-11
Registered in v-safe
-
2022-07-11
Dose 1 — Moderna
- 2022-07-11
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-18
- 2022-07-25
-
2022-08-01
Survey response — day 21, dose 1, under 3MedDRA: Cough, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever (101.7): less than 6 hours Unproductive cough: 3 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-08-08
-
2022-08-11
Dose 2 — Moderna
-
2022-08-15
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Fatigue, Pyrexia — Feeling: GoodFree text: On Aug 12 he had a fever around 101, that lasted less than a day. He was also fatigued.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — day 21, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-08
- 2022-09-17
-
2022-09-22
Survey response — day 42, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2023-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-11 | Moderna | No |
| 2 | 2022-08-11 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever (101.7): less than 6 hours Unproductive cough: 3 days
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): On Aug 12 he had a fever around 101, that lasted less than a day. He was also fatigued.
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Cough, Runny nose
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Runny nose, 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 | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release