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4XT-30937-63905

1 vaccination 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-07-09
Relationship
Child or adolescent in my care
Guardian
3HF-20920-15476
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-30
    Dose 1 — Moderna
  2. 2022-07-09
    Registered in v-safe
  3. 2022-07-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Site: Redness, Swelling/hardness · None
    Under 3 check-in
  4. 2022-07-14
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-07-21
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-09-29
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-12-30
    Survey response — 6 months, dose 1, under 3
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair
    Free text: Constant runny nose, cough, congestion
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-06-30Moderna No

Free text

Release 12 (Under 3) — 6 months, dose 1, under 3

2022-12-30

Symptoms: Constant runny nose, cough, congestion

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 · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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