R4R-14147-59066
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 941 / CA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- MQU-32403-32760
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
-
2022-06-25
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-26
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Fever · Be unable to work or attend schoolFree text: Complaining that his armpit hurts (same side as injection). I haven't seen any redness or palpated any swelling so far. He also has a runny nose (Covid antigen test negative), so it's unclear what is causing the fever.MedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Body temperature increased, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Still has a cold but fever no longer present. No longer complaining of armpit pain (and never showed signs of inflammation, no redness/swelling). Temp slightly higher than normal but below 100F, which is weird as was near 104 at bedtime yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Body temperature increased, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Still has cold symptoms. Still probably not vaccine related. Temp slightly elevated in early afternoon but not fever.MedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Still has nasal congestion/runny nose. Was able to attend preschool.MedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Survey response — day 7, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Still has runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-11
- 2022-07-18
-
2022-07-23
Dose 2 — Moderna
- 2022-07-23
-
2022-07-24
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Fatigue, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Fatigue seems related to fever - he acts pretty normally when we give him ibuprofenMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-08
- 2022-08-15
- 2022-08-20
- 2022-08-29
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2022-09-03
Survey response — day 42, dose 2, dependentMedDRA: Croup infectious — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CroupMedDRA releases: 2024-11 · check-in free text available
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2022-09-03
Report sent to call center — day 42, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-06
- 2022-10-22
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Complaining that his armpit hurts (same side as injection). I haven't seen any redness or palpated any swelling so far. He also has a runny nose (Covid antigen test negative), so it's unclear what is causing the fever.
Systemic reaction (other): Still has a cold but fever no longer present. No longer complaining of armpit pain (and never showed signs of inflammation, no redness/swelling). Temp slightly higher than normal but below 100F, which is weird as was near 104 at bedtime yesterday
Systemic reaction (other): Still has cold symptoms. Still probably not vaccine related. Temp slightly elevated in early afternoon but not fever.
Systemic reaction (other): Still has nasal congestion/runny nose. Was able to attend preschool.
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Still has runny nose
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Fatigue seems related to fever - he acts pretty normally when we give him ibuprofen
Release 12 — day 42, dose 2, dependent
Symptoms: Croup
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 | Croup infectious | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release