ZJ3-67469-03986
3 vaccinations
5 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 430 / OH
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- U5H-21137-90985
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-30
Dose 1 — Moderna
-
2022-07-13
Registered in v-safe
- 2022-07-13
- 2022-07-14
-
2022-07-21
Survey response — day 21, dose 1, dependentMedDRA: Influenza A virus test negative, Influenza B virus test negative, Respiratory symptom, SARS-CoV-2 test negative — Feeling: GoodFree text: Symptoms for Upper respiratory infection. Tested first 3 days with rapid antigen tests (all different manufacturers) and all were negative for SARS-CoV-2. Took a PCR for SARS-CoV-2 and flu a and b and those were negative. Symptoms resolved in <7 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Dose 2 — Moderna
- 2022-07-28
- 2022-07-29
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · NauseaAdult check-in
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · NoneAdult check-in
-
2022-08-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-08-03
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — day 35, dose 2, dependentMedDRA: Fatigue, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sneezing, runny nose, congestion, fever, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
-
2022-10-27
Survey response — 3 months, dose 2, dependentMedDRA: Aphonia, Cough, Croup infectious, Lethargy, Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion, Upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory infection (either croup or RSV). Barking cough, heavy congestion, fever, lethargy, and lost voice.MedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Dose 3 — Moderna
- 2023-01-13
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
-
2023-02-15
Survey response — day 42, dose 3, dependentMedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-04-05
Survey response — 3 months, dose 3, dependentMedDRA: Body temperature increased, Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
| 3 | 2023-01-04 | Moderna | No |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Symptoms for Upper respiratory infection. Tested first 3 days with rapid antigen tests (all different manufacturers) and all were negative for SARS-CoV-2. Took a PCR for SARS-CoV-2 and flu a and b and those were negative. Symptoms resolved in <7 days cut off by CDC
Release 12 — day 35, dose 2, dependent
Symptoms: Sneezing, runny nose, congestion, fever, fatigue
Release 12 — 3 months, dose 2, dependent
Symptoms: Upper respiratory infection (either croup or RSV). Barking cough, heavy congestion, fever, lethargy, and lost voice.
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 | Aphonia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test negative | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release