XZE-10034-00515
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- CZL-16521-48283
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-07-05
- 2022-07-12
-
2022-07-24
Dose 2 — Moderna
-
2022-07-24
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-07-25
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-07
- 2022-08-16
- 2022-08-21
-
2022-08-28
Survey response — day 35, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdMedDRA releases: 2024-11 · check-in free text available
-
2022-09-04
Survey response — day 42, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Congestion, cough, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
| 2 | 2022-07-24 | Moderna | No |
Free text
Release 12 — day 35, dose 2, dependent
Symptoms: Cold
Release 12 — day 42, dose 2, dependent
Symptoms: Cold symptoms
Release 12 — 3 months, dose 2, dependent
Symptoms: Congestion, cough, runny nose
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 | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release