NJM-62193-57174
2 vaccinations
1 coded response
10 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 038 / NH
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- Y9W-10314-54105
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-02
-
2022-07-09
Survey response — day 14, dose 1, dependentMedDRA: Nasal congestion, Pre-existing disease — Feeling: GoodFree text: Stuffy nose (likely sessional allergies)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-08
-
2022-08-12
Dose 2 — Moderna
- 2022-09-24
- 2022-09-26
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-08-12 | Moderna | No |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Stuffy nose (likely sessional allergies)
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 | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release