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4YL-13936-35771

1 vaccination 2 coded responses 12 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
841 / UT
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
JRF-26705-05747
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-21
    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 · None
    Under 3 check-in
  4. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  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. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-28
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-19
    Survey response — day 28, dose 1, under 3
    MedDRA: Malaise — Feeling: Poor · Be unable to do your normal daily activities
    Free text: COVID syx
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-26
    Survey response — day 35, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had covid
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-09-20
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-12-20
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-06-23
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-21Moderna No

Free text

Release 12 (Under 3) — day 28, dose 1, under 3

2022-07-19

Symptoms: COVID syx

Release 12 (Under 3) — day 35, dose 1, under 3

2022-07-26

Symptoms: Had covid

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
SDCOVID-19 · · ✓
SDMalaise · · ✓

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

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