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2D2-22306-10437

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
967 / HI
Registered
2022-07-25
Relationship
Child or adolescent in my care
Guardian
S3M-23861-50945
Race
N/A
Ethnicity
N/A

Timeline

  1. 2022-06-27
    Dose 1 — Moderna
  2. 2022-07-25
    Registered in v-safe
  3. 2022-07-25
    Dose 2 — Moderna
  4. 2022-08-01
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-08-10
    Health check-in — day 14, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  6. 2022-08-15
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-08-24
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-09-07
    Survey response — day 42, dose 2, under 3
    MedDRA: Malaise, Nasal congestion, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, nasal congestion, malaise with a negative Covid home test
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-26
    Health check-in — 3 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  10. 2023-01-26
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No
22022-07-25Moderna No

Free text

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-07

Symptoms: Fever, nasal congestion, malaise with a negative Covid home test

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
SDMalaise · · ✓
SDNasal congestion · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓

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