UQR-27616-74537
3 vaccinations
5 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 153 / PA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- AWX-29674-90674
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pyrexia — Feeling: GoodFree text: Had a fever 5/25 to 5/26MedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Lymphadenopathy — Feeling: GoodFree text: Prominent lymph node in the neck on the same side as the vaccine was givenMedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-07-21
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Pyrexia — Feeling: GoodFree text: Had less than 24 hours of fever that started about 12 hours after receiving the second dose. Now he is fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-10-20
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Cold viruses not covidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Dose 3 — Pfizer-BioNTech
- 2022-12-29
- 2022-12-30
- 2023-01-01
- 2023-01-02
- 2023-01-09
- 2023-01-16
- 2023-01-23
- 2023-02-06
-
2023-03-27
Survey response — 3 months, dose 3, dependentMedDRA: Viral infection — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
| 3 | 2022-12-26 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Had a fever 5/25 to 5/26
Systemic reaction (other): Prominent lymph node in the neck on the same side as the vaccine was given
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Had less than 24 hours of fever that started about 12 hours after receiving the second dose. Now he is fine.
Release 12 — 3 months, dose 2, dependent
Symptoms: Cold viruses not 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 | Nasopharyngitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release