RBL-26762-30558
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-07-23
- Relationship
- Child or adolescent in my care
- Guardian
- L9S-26523-94949
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-21
Dose 1 — Moderna
-
2022-07-23
Registered in v-safe
-
2022-07-23
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
-
2022-07-31
Health check-in — day 7, dose 1, under 3Feeling: Poor · Irritability/crying, Loss of appetite, Vomiting, Diarrhea · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-08-04
Survey response — day 14, dose 1, under 3MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea, episode of vomitingMedDRA releases: 2024-11 · check-in free text available
- 2022-08-11
- 2022-08-18
-
2022-08-20
Dose 2 — Moderna
-
2022-08-20
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Pain · Irritability/cryingUnder 3 check-in
-
2022-08-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
- 2022-08-26
- 2022-08-27
-
2022-09-03
Survey response — day 14, dose 2, under 3MedDRA: Diarrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Diarrheal illnessMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-17
- 2022-09-24
-
2022-10-01
Survey response — day 42, dose 2, under 3MedDRA: Eye discharge, Rhinorrhoea — Feeling: FairFree text: Runny nose, eye drainageMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2023-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-21 | Moderna | No |
| 2 | 2022-08-20 | Moderna | No |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Diarrhea, episode of vomiting
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Diarrheal illness
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Runny nose, eye drainage
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 | Diarrhoea | · | · | ✓ |
| SD | Eye discharge | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release