STJ-10232-53757
1 vaccination
1 coded response
12 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 208 / MD
- Registered
- 2023-04-29
- Relationship
- Child or adolescent in my care
- Guardian
- 894-78717-19931
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-04-29
Registered in v-safe
-
2023-04-29
Dose 1 — Moderna
- 2023-04-29
- 2023-04-30
- 2023-05-01
- 2023-05-02
- 2023-05-03
-
2023-05-04
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Constipation — Feeling: GoodMedDRA releases: 2024-11
-
2023-05-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-05-07
- 2023-05-13
- 2023-05-20
- 2023-05-27
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-04-29 | Moderna | No |
Free text
None.
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 |
|---|---|---|---|---|
| SRO | Constipation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release