QVL-11542-55396
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 553 / MN
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- RRU-30689-29215
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
-
2022-07-02
Survey response — day 7, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Survey response — day 14, dose 1, dependentMedDRA: Dermatitis allergic — Feeling: GoodFree text: Allergic type rashMedDRA releases: 2024-11 · check-in free text available
-
2022-07-23
Dose 2 — Moderna
- 2022-08-08
- 2022-08-13
- 2022-08-21
- 2022-08-28
- 2022-09-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
Free text
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Runny nose and cough
Release 12 — day 14, dose 1, dependent
Symptoms: Allergic type rash
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 | Dermatitis allergic | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release