W9K-29413-82648
2 vaccinations
1 coded response
4 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 802 / CO
- Registered
- 2022-08-19
- Relationship
- Child or adolescent in my care
- Guardian
- ZER-17835-04555
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-01
Dose 1 — Moderna
-
2022-08-19
Registered in v-safe
-
2022-08-19
Dose 2 — Moderna
-
2022-08-19
Survey response — day 0, dose 2, under 3MedDRA: Flatulence — Feeling: Poor · Site: Pain · Fever · Irritability/cryingFree text: Lots of fartingMedDRA releases: 2024-11 · check-in free text available
-
2022-08-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-08-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-09-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-08-19 | Moderna | No |
Free text
Release 12 (Under 3) — day 0, dose 2, under 3
Systemic reaction (other): Lots of farting
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 |
|---|---|---|---|---|
| SRO | Flatulence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release