ZLA-26687-72914
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 786 / TX
- Registered
- 2022-07-12
- Relationship
- Child or adolescent in my care
- Guardian
- LL2-20048-63188
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-07
Dose 1 — Moderna
-
2022-07-12
Registered in v-safe
-
2022-07-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-14
Health check-in — day 7, dose 1, dependentFeeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work or attend schoolAdult check-in
- 2022-07-21
- 2022-07-28
- 2022-08-04
-
2022-08-10
Dose 2 — Moderna
-
2022-08-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2022-08-12
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-16
- 2022-08-19
- 2022-08-26
- 2022-08-31
-
2022-09-07
Survey response — day 28, dose 2, dependentMedDRA: Abdominal pain upper, Diarrhoea — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diarrhea, stomacheMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-08
- 2022-09-16
-
2022-11-09
Survey response — 3 months, dose 2, dependentMedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: RsvMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-07 | Moderna | No |
| 2 | 2022-08-10 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Cough
Release 12 — day 28, dose 2, dependent
Symptoms: Diarrhea, stomache
Release 12 — 3 months, dose 2, dependent
Symptoms: Rsv
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 | Abdominal pain upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release