UPU-29440-91784
1 vaccination
1 coded response
12 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 775 / TX
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- 9LV-32895-83120
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
-
2022-06-21
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
-
2022-06-30
Health check-in — day 7, dose 1, dependentFeeling: Fair · Fever · None · Be unable to work or attend schoolAdult check-in
-
2022-07-05
Survey response — day 14, dose 1, dependentMedDRA: COVID-19, Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Had fevers, cough, congestion due to covidMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
- 2022-08-02
- 2022-12-20
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Had fevers, cough, congestion due to covid
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 | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release