VZJ-21649-65963
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 800 / CO
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- G5V-27436-37505
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-24
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-25
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-06-28
-
2022-06-29
Health check-in — day 7, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-07-06
-
2022-07-13
Survey response — day 21, dose 1, under 3MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever up to 101.8 on July 6MedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Dose 2 — Moderna
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2022-12-21
Dose 3 — Moderna
- 2023-01-18
- 2023-03-24
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2022-12-21 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever up to 101.8 on July 6
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 | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release