SF4-97201-29902
3 vaccinations
2 coded responses
28 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 208 / MD
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 9DZ-38902-89477
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-28
Dose 1 — Moderna
- 2022-07-05
- 2022-07-12
- 2022-07-19
-
2022-07-26
Survey response — day 28, dose 1, under 3MedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: FeverMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Dose 2 — Moderna
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-10-27
-
2022-12-21
Dose 3 — Moderna
- 2022-12-21
- 2022-12-22
- 2022-12-23
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2022-12-27
- 2022-12-28
- 2023-01-04
-
2023-01-11
Survey response — day 21, dose 3, under 3MedDRA: COVID-19, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-03-22
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
| 3 | 2022-12-21 | Moderna | No |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Fever
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release