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2N8-10752-03902

3 vaccinations 4 coded responses 24 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
980 / WA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
8NF-18755-29995
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-23
    Registered in v-safe
  3. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  4. 2022-06-24
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Epistaxis, Rhinorrhoea — Feeling: Good · Sleepiness, Irritability/crying, Rash, not including the immediate area around the injection site
    Free text: Bloody nose, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  9. 2022-07-06
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-20
    Dose 2 — Moderna
  12. 2022-07-20
    Health check-in — day 0, dose 2, under 3
    Feeling: Fair · Site: Pain · Irritability/crying
    Under 3 check-in
  13. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-07-27
    Survey response — day 7, dose 2, under 3
    MedDRA: Cough — Feeling: Fair · Fever · Sleepiness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-03
    Survey response — day 14, dose 2, under 3
    MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair
    Free text: Cough, runny nose, fever
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-10
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-17
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-24
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-31
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-10-19
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-12-17
    Dose 3 — Moderna
  26. 2023-01-18
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-03-21
    Survey response — 3 months, dose 3, under 3
    MedDRA: Abdominal pain upper, Cough — Feeling: Good
    MedDRA releases: 2024-11
  28. 2023-06-19
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No
32022-12-17Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-24

Systemic reaction (other): Bloody nose, runny nose

Release 12 (Under 3) — day 7, dose 2, under 3

2022-07-27

Systemic reaction (other): Cough

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-03

Symptoms: Cough, runny nose, 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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDCough · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SROCough · · ✓
SROEpistaxis · · ✓
SRORhinorrhoea · · ✓

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

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