PV5-17283-87739
2 vaccinations
2 coded responses
14 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 917 / CA
- Registered
- 2022-07-02
- Relationship
- Child or adolescent in my care
- Guardian
- KQ6-32670-43402
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-01
Dose 1 — Moderna
-
2022-07-02
Registered in v-safe
- 2022-07-02
- 2022-07-06
-
2022-07-10
Health check-in — day 7, dose 1, dependentFeeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-17
- 2022-07-24
-
2022-07-29
Dose 2 — Moderna
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-08-08
- 2022-08-14
- 2022-08-22
- 2022-08-26
- 2022-09-02
- 2022-09-11
-
2022-10-29
Survey response — 3 months, dose 2, dependentMedDRA: Hand-foot-and-mouth disease, Influenza like illness, Nasopharyngitis — 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 · Telehealth, virtual health, or email health consultationFree text: Had a cold, and also hand, foot, and mouth. Flu-like symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
-
2023-01-27
Survey response — 6 months, dose 2, dependentMedDRA: Asthenia, Fatigue — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 3 months, dose 2, dependent
Symptoms: Had a cold, and also hand, foot, and mouth. Flu-like symptoms.
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 | Asthenia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hand-foot-and-mouth disease | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release