P8V-96608-95264
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 911 / CA
- Registered
- 2022-07-24
- Relationship
- Child or adolescent in my care
- Guardian
- L5Q-19702-88929
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-07-22
Dose 2 — Moderna
-
2022-07-24
Registered in v-safe
- 2022-07-25
-
2022-07-26
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Middle insomnia, Teething — Feeling: GoodFree text: He has been waking up in the middle of the night but he is also sprouting a new tooth so it is unclear if they are related but wanted to report just in case.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
-
2022-08-12
Survey response — day 21, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Office visit, Pyrexia, Rhinorrhoea — 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 professionalFree text: Symptoms: Runny nose, cough, fever (due to a cold he picked up somewhere) · Healthcare visit (other): Regular doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Report sent to call center — day 21, 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 pr1 call case(s)
- 2022-08-15
- 2022-08-19
- 2022-08-26
- 2022-09-04
- 2022-10-23
-
2023-01-03
Dose 3 — Moderna
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2023-01-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): He has been waking up in the middle of the night but he is also sprouting a new tooth so it is unclear if they are related but wanted to report just in case.
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Runny nose, cough, fever (due to a cold he picked up somewhere)
Healthcare visit (other): Regular doctor visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ○ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Teething | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release