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3AE-24781-64489

3 vaccinations 3 coded responses 27 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
190 / PA
Registered
2022-06-30
Relationship
Child or adolescent in my care
Guardian
W28-26496-56965
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-06-30
    Registered in v-safe
  3. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  4. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-26
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-29
    Dose 2 — Moderna
  13. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  14. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-19
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-08-26
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-09-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-28
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2023-01-18
    Dose 3 — Moderna
  24. 2023-01-27
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2023-01-27
    Survey response — 6 months, dose 2, under 3
    MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  26. 2023-02-01
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-02-10
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  28. 2023-02-15
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  29. 2023-02-22
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-03-01
    Survey response — day 42, dose 3, under 3
    MedDRA: Cough, Fatigue, Nasopharyngitis, Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11
  31. 2023-04-19
    Survey response — 3 months, dose 3, under 3
    MedDRA: Cough, Headache, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-29Moderna No
32023-01-18Moderna No

Free text

None.

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
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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