ZKX-21699-23370
2 vaccinations
2 coded responses
13 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 605 / IL
- Registered
- 2022-07-29
- Relationship
- Child or adolescent in my care
- Guardian
- T8N-29274-18326
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Moderna
-
2022-07-28
Dose 2 — Moderna
-
2022-07-29
Registered in v-safe
-
2022-07-29
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain · Fever · Irritability/crying, Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
-
2022-10-27
Survey response — 3 months, dose 2, under 3MedDRA: Enterovirus infection, Rhinovirus infection, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Viral infection (most likely rhino/entero)MedDRA releases: 2024-11 · check-in free text available
-
2023-01-26
Survey response — 6 months, dose 2, under 3MedDRA: Hospitalisation, Respiratory syncytial virus infection, Urine odour abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationMedDRA releases: 2024-11
-
2023-01-26
Report sent to call center — 6 months, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2023-01-27
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Viral infection (most likely rhino/entero)
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 | Enterovirus infection | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Rhinovirus infection | · | · | ✓ |
| SD | Urine odour abnormal | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release