XKV-14834-88276
2 vaccinations
2 coded responses
12 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2023-03-22
- Relationship
- Child or adolescent in my care
- Guardian
- TKL-28968-55979
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-03-07
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
-
2023-03-22
Registered in v-safe
- 2023-03-22
- 2023-03-28
- 2023-04-04
- 2023-04-11
-
2023-04-13
Dose 2 — ModernaCo-administered: Flu
- 2023-04-14
- 2023-04-17
- 2023-04-19
- 2023-04-20
-
2023-04-27
Survey response — day 14, dose 2, under 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Teething — Feeling: FairMedDRA releases: 2024-11
- 2023-05-04
-
2023-05-13
Survey response — day 28, dose 2, under 3MedDRA: Upper respiratory tract infection, Viral rash — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-13
Report sent to call center — day 28, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-03-07 | Moderna | Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2023-04-13 | 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 | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Teething | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Viral rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release