ZP4-27577-60731
3 vaccinations
2 coded responses
29 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 930 / CA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 375-20314-22665
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-30
- 2022-07-07
- 2022-07-16
-
2022-07-25
Dose 2 — Moderna
- 2022-07-25
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-07-28
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-24
- 2022-08-29
-
2022-09-05
Survey response — day 42, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Currently has a cold. Stuffy, coughing. No fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
-
2023-01-23
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19, Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-30
Dose 3 — Moderna
- 2023-04-11
- 2023-04-13
- 2023-04-22
- 2023-04-27
- 2023-05-04
- 2023-05-11
- 2023-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
| 3 | 2023-03-30 | Moderna | No |
Free text
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Currently has a cold. Stuffy, coughing. No fever.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release