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5FU-27227-29333

3 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
805 / CO
Registered
2022-07-02
Relationship
Child or adolescent in my care
Guardian
CM4-47166-69482
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-02
    Registered in v-safe
  2. 2022-07-02
    Dose 1 — Moderna
  3. 2022-07-02
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Site: Pain · Fever · Irritability/crying
    Under 3 check-in
  4. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  5. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  6. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  7. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-16
    Survey response — day 14, dose 1, under 3
    MedDRA: Injection site erythema, Injection site pain, Injection site reaction, Urticaria — Feeling: Good
    Free text: Had a large welt/red spot where the vaccine had been placed on his thigh (started day 7 following vaccine, and lasted about 24 hrs). It was red and tender to the touch. There was no other injury/etc. It resolved completely without intervention.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-23
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-31
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-03
    Dose 2 — Moderna
  14. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-09
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Arthropod sting — Feeling: Good
    Free text: Bee sting on arm today
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-08-10
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-17
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-25
    Survey response — day 21, dose 2, under 3
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-31
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-09
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-09-14
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-11-02
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2023-01-12
    Dose 3 — Moderna
  24. 2023-02-01
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2023-04-13
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-02Moderna No
22022-08-03Moderna No
32023-01-12Moderna No

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-16

Symptoms: Had a large welt/red spot where the vaccine had been placed on his thigh (started day 7 following vaccine, and lasted about 24 hrs). It was red and tender to the touch. There was no other injury/etc. It resolved completely without intervention.

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

2022-08-09

Systemic reaction (other): Bee sting on arm today

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-25

Symptoms: Diarrhea

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
SDDiarrhoea · · ✓
SDInjection site erythema · · ✓
SDInjection site pain · · ✓
SDInjection site reaction · · ✓
SDUrticaria · · ✓
SROArthropod sting · · ✓

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

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