ZXB-22330-77156
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- QH6-21134-05827
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
- 2022-06-28
- 2022-06-29
- 2022-07-02
- 2022-07-07
- 2022-07-14
-
2022-07-21
Dose 2 — Moderna
- 2022-07-30
- 2022-08-04
-
2022-08-11
Survey response — day 21, dose 2, dependentMedDRA: Illness, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Febrile illness, COVID negative on RAT x2 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-10-20
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Febrile illness, COVID negative on RAT x2 days
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 | Illness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release