Z9U-40933-33158
2 vaccinations
4 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 5U8-27792-10551
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: A cold with fever July 2-4MedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
-
2022-07-20
Survey response — day 28, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: FairFree text: He has a fairly minor coldMedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Dose 2 — Moderna
- 2022-08-03
- 2022-08-04
- 2022-08-13
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-10-20
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: He has a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-21
-
2023-01-19
Survey response — 6 months, dose 2, under 3MedDRA: Hand-foot-and-mouth disease, Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-20 | Unsuccessful |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: A cold with fever July 2-4
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: He has a fairly minor cold
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: He has a cold
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 | Hand-foot-and-mouth disease | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release