XFT-26785-87661
2 vaccinations
2 coded responses
20 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 553 / MN
- Registered
- 2022-11-26
- Relationship
- Child or adolescent in my care
- Guardian
- RK3-13271-18912
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-23
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
-
2022-11-26
Registered in v-safe
-
2022-11-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Swelling/hardness · Irritability/cryingUnder 3 check-in
- 2022-11-27
- 2022-11-28
- 2022-11-29
- 2022-11-30
- 2022-12-07
- 2022-12-16
- 2022-12-21
-
2022-12-27
Dose 2 — ModernaCo-administered: Flu
- 2022-12-28
- 2022-12-30
-
2022-12-31
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2023-01-02
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite, VomitingUnder 3 check-in
- 2023-01-05
- 2023-01-10
-
2023-01-17
Survey response — day 21, dose 2, under 3MedDRA: Cough, Secretion discharge — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-17
Report sent to call center — day 21, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-24
- 2023-01-31
- 2023-02-07
- 2023-03-28
-
2023-06-27
Survey response — 6 months, dose 2, under 3MedDRA: Malaise, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-23 | Moderna | Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2022-12-27 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
None.
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 | Cough | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release