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4HG-27490-88819

2 vaccinations 1 coded response 15 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
450 / OH
Registered
2023-02-13
Relationship
Child or adolescent in my care
Guardian
XUB-24448-71049
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2023-02-11
    Dose 1 — Moderna
  2. 2023-02-13
    Registered in v-safe
  3. 2023-02-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Diarrhea
    Under 3 check-in
  4. 2023-02-14
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2023-02-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2023-02-16
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2023-02-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2023-02-18
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2023-03-04
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2023-03-11
    Dose 2 — Moderna
  11. 2023-03-12
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Pyrexia — Feeling: Fair · Fever · Irritability/crying, Diarrhea
    MedDRA releases: 2024-11
  12. 2023-03-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Diarrhea
    Under 3 check-in
  13. 2023-03-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  14. 2023-03-15
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Diarrhea
    Under 3 check-in
  15. 2023-03-16
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  16. 2023-03-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2023-03-18
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2023-03-27
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12023-02-11Moderna No
22023-03-11Moderna 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
SROPyrexia · · ✓

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

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