UHM-55780-69495
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 547 / WI
- Registered
- 2022-11-29
- Relationship
- Child or adolescent in my care
- Guardian
- L5Z-10924-90030
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-29
Registered in v-safe
-
2022-11-29
Dose 1 — ModernaCo-administered: Flu
- 2022-11-29
- 2022-11-30
-
2022-12-01
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: Fair · SleepinessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-02
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-06
-
2022-12-13
Survey response — day 14, dose 1, under 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold virus. Runny nose, conjunctiva, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2022-12-27
-
2023-01-03
Dose 2 — Moderna
- 2023-01-03
- 2023-01-04
- 2023-01-05
- 2023-01-06
- 2023-01-07
- 2023-01-08
- 2023-01-09
- 2023-01-10
- 2023-01-17
- 2023-01-26
- 2023-01-31
- 2023-02-07
- 2023-02-14
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-29 | Moderna | Flu |
| 2 | 2023-01-03 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Runny nose
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Cold virus. Runny nose, conjunctiva, cough
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release