NK9-55482-28253
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 112 / NY
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- X5H-43592-15735
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
- 2022-06-27
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-30
Survey response — day 7, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: Fair · Irritability/cryingFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
-
2022-07-25
Dose 2 — Moderna
- 2022-07-25
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-27
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Middle insomnia, Poor quality sleep — Feeling: Good · Sleepiness, Irritability/cryingFree text: Restless sleepingwaking up frequentlyMedDRA releases: 2024-11 · check-in free text available
- 2022-08-08
- 2022-08-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Runny nose
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Restless sleepingwaking up frequently
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 |
|---|---|---|---|---|
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release