V4U-23568-64098
3 vaccinations
5 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 891 / NV
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- R7F-16677-40370
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
-
2022-08-19
Survey response — day 28, dose 2, dependentMedDRA: Body temperature increased, Respiratory tract congestion — Feeling: FairFree text: Congestion, slightly elevated temperatureMedDRA releases: 2024-11 · check-in free text available
-
2022-08-26
Survey response — day 35, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: congestion, sneezing, light coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, congestion, mild feverMedDRA releases: 2024-11 · check-in free text available
-
2023-01-20
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Exposure to SARS-CoV-2, Malaise, Office visit, Respiratory symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-23
-
2023-01-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-02-06
Dose 3 — Moderna
- 2023-03-22
-
2023-05-08
Survey response — 3 months, dose 3, dependentMedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2023-02-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 28, dose 2, dependent
Symptoms: Congestion, slightly elevated temperature
Release 12 — day 35, dose 2, dependent
Symptoms: congestion, sneezing, light cough
Release 12 — 3 months, dose 2, dependent
Symptoms: Cough, congestion, mild fever
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release