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29Y-20163-44354

1 vaccination 1 coded response 15 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
895 / NV
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
SGF-19906-84880
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Dose 1 — Moderna
  2. 2022-06-28
    Registered in v-safe
  3. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-11
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-18
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-25
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-08-01
    Survey response — day 35, dose 1, dependent
    MedDRA: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cv19. Fever, sore throat, headache, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-08-09
    Health check-in — day 42, dose 1, dependent
    Feeling: Good
    Adult check-in
  15. 2022-09-29
  16. 2022-12-28
  17. 2023-06-27

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No

Free text

Release 12 — day 35, dose 1, dependent

2022-08-01

Symptoms: Cv19. Fever, sore throat, headache, fatigue.

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release