VX3-14439-56155
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 056 / VT
- Registered
- 2022-08-27
- Relationship
- Child or adolescent in my care
- Guardian
- NS7-21848-90586
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-27
Registered in v-safe
-
2022-08-27
Dose 1 — Moderna
- 2022-08-27
- 2022-08-28
- 2022-08-31
- 2022-09-01
- 2022-09-03
- 2022-09-12
-
2022-09-17
Survey response — day 21, dose 1, under 3MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: Cold - runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-24
Survey response — day 28, dose 1, under 3MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Cold - runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
-
2022-10-08
Survey response — day 42, dose 1, under 3MedDRA: Pyrexia, Respiratory tract congestion — Feeling: GoodFree text: Fever, congestion for 3 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-27 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Cold - runny nose
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Cold - runny nose
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Fever, congestion for 3 days
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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release