NQR-25424-90325
2 vaccinations
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 770 / TX
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- KW4-46103-63063
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-01
Dose 1 — Moderna
-
2021-11-29
Dose 2 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-11-29
Survey response — 12 months, dose 2, under 3MedDRA: Conjunctivitis, Influenza, Streptococcal infection — Feeling: Good · 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: Strep x2 Conjunctivitis x2 Flu A x1MedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Report sent to call center — 12 months, dose 2, under 3Be 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)
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-01 | Moderna | No |
| 2 | 2021-11-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — 12 months, dose 2, under 3
Symptoms: Strep x2 Conjunctivitis x2 Flu A x1
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 | Influenza | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release