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4UC-15843-00584

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
920 / CA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
RV5-26102-36545
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Registered in v-safe
  2. 2022-06-23
    Dose 1 — Moderna
  3. 2022-06-23
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-27
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Itchiness at injection site
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  8. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-21
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-23
    Dose 2 — Moderna
  14. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Redness, Swelling/hardness · Sleepiness
    Under 3 check-in
  15. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Redness, Swelling/hardness · Sleepiness, Irritability/crying
    Under 3 check-in
  16. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain, Redness, Swelling/hardness · None
    Under 3 check-in
  17. 2022-07-27
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling/hardness · Irritability/crying
    Free text: Mild bruising at injection site
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-07-28
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruising at injection site
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-07-29
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruising at injection site
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-01
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-06
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-13
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-20
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-08-27
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-09-03
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-10-23
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-01-21
    Health check-in — 6 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-23Moderna No

Free text

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

2022-06-27

Systemic reaction (other): Itchiness at injection site

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-27

Systemic reaction (other): Mild bruising at injection site

2022-07-28

Systemic reaction (other): Bruising at injection site

2022-07-29

Systemic reaction (other): Bruising at injection site

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
SROInjection site bruising · · ✓
SROInjection site pruritus · · ✓

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

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