XQG-16452-07543
2 vaccinations
4 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 0-4
- ZIP prefix
- 015 / MA
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 272-67341-89167
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-27
- 2022-06-28
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-06-30
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-07-02
- 2022-07-09
- 2022-07-16
-
2022-07-23
Dose 2 — Moderna
- 2022-07-23
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-28
- 2022-07-30
-
2022-08-06
Survey response — day 14, dose 2, dependentMedDRA: Fatigue, Loss of personal independence in daily activities, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: High fever last weekend, stayed home from school Monday Extreme tiredness mid-week Congestion mid-week and into this weekend, missing several more days of schoolMedDRA releases: 2024-11 · check-in free text available
-
2022-08-13
Survey response — day 21, dose 2, dependentMedDRA: Cough — Feeling: FairFree text: Persistent coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-21
Survey response — day 28, dose 2, dependentMedDRA: Cough, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Cough for a few weeks, low grade feverMedDRA releases: 2024-11 · check-in free text available
- 2022-08-29
- 2022-09-03
-
2023-01-23
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: High fever last weekend, stayed home from school Monday Extreme tiredness mid-week Congestion mid-week and into this weekend, missing several more days of school
Release 12 — day 21, dose 2, dependent
Symptoms: Persistent cough
Release 12 — day 28, dose 2, dependent
Symptoms: Cough for a few weeks, low grade fever
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 | Fatigue | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release