TDH-20002-68306
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 908 / CA
- Registered
- 2022-07-22
- Relationship
- Child or adolescent in my care
- Guardian
- 2W5-12357-83795
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-08
Dose 1 — Moderna
-
2022-07-22
Registered in v-safe
- 2022-07-22
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
-
2022-08-26
Dose 2 — Moderna
-
2022-08-27
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Complains of pain in Left underarm armpit area. Same arm of injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-08-28
- 2022-08-29
- 2022-08-30
- 2022-08-31
- 2022-09-01
- 2022-09-02
- 2022-09-11
- 2022-09-16
- 2022-09-24
- 2022-10-02
- 2022-11-25
-
2023-01-28
Dose 3 — Moderna
- 2023-02-28
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-08 | Moderna | No |
| 2 | 2022-08-26 | Moderna | No |
| 3 | 2023-01-28 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Complains of pain in Left underarm armpit area. Same arm of injection site
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 | Axillary pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release