ZZS-88295-60541
3 vaccinations
5 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 100 / NY
- Registered
- 2022-11-03
- Relationship
- Child or adolescent in my care
- Guardian
- 8BU-89552-02223
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-11-02
Dose 1 — Moderna
-
2022-11-03
Registered in v-safe
-
2022-11-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
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2022-11-04
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolFree text: He also has a cold (severe congestion) so I am not sure what symptoms are related to the cold vs the vaccine shotMedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Nasal congestion, Nasopharyngitis — Feeling: FairFree text: Stuffy nose from a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Still congested from an unrelated coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
-
2022-11-11
Survey response — day 7, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Has another coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-23
-
2022-12-06
Dose 2 — Moderna
- 2022-12-07
- 2022-12-08
- 2022-12-09
- 2022-12-10
- 2022-12-11
- 2022-12-12
- 2022-12-20
- 2022-12-27
-
2023-01-03
Survey response — day 28, dose 2, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-01-10
- 2023-01-17
- 2023-03-07
-
2023-03-10
Dose 3 — Moderna
- 2023-03-22
- 2023-03-24
- 2023-04-02
- 2023-04-07
- 2023-04-21
- 2023-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-02 | Moderna | No |
| 2 | 2022-12-06 | Moderna | No |
| 3 | 2023-03-10 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): He also has a cold (severe congestion) so I am not sure what symptoms are related to the cold vs the vaccine shot
Systemic reaction (other): Stuffy nose from a cold
Systemic reaction (other): Still congested from an unrelated cold
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Has another cold
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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release