ZL3-24367-31135
3 vaccinations
3 coded responses
33 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 028 / RI
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- TLE-20133-48208
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
-
2022-06-25
Survey response — day 0, dose 1, dependentMedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm a few hours laterMedDRA releases: 2024-11 · check-in free text available
- 2022-06-26
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-02
- 2022-07-09
- 2022-07-16
-
2022-07-23
Dose 2 — Moderna
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Vomiting · Be unable to work or attend schoolAdult check-in
- 2022-07-26
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-06
- 2022-08-14
- 2022-08-20
-
2022-08-27
Survey response — day 35, dose 2, dependentMedDRA: Cough, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend schoolFree text: 1.5 days of Fever, runny nose, light cough, and sneezing. Negative rapid tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-04
- 2022-10-22
-
2022-12-17
Dose 3 — Moderna
-
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-12-20
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-12-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Fever · NoneAdult check-in
-
2022-12-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-01-14
-
2023-01-21
Survey response — day 35, dose 3, dependentMedDRA: Asthenia, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-28
- 2023-03-21
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Free text
Release 12 — day 0, dose 1, dependent
Systemic reaction (other): Sore arm a few hours later
Release 12 — day 35, dose 2, dependent
Symptoms: 1.5 days of Fever, runny nose, light cough, and sneezing. Negative rapid tests.
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release