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5HZ-13003-25443

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
049 / ME
Registered
2022-09-21
Relationship
Child or adolescent in my care
Guardian
58P-22936-38997
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-09-20
    Dose 1 — Moderna
  2. 2022-09-21
    Registered in v-safe
  3. 2022-09-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-09-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  5. 2022-09-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-09-25
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Fever · Irritability/crying
    Free text: Runny nose and cough
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-09-26
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fever · Irritability/crying
    Free text: Cough and congestion
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-09-27
    Survey response — day 7, dose 1, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Irritability/crying
    Free text: Cough and congestion
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-11
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-09-20Moderna No

Free text

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

2022-09-25

Systemic reaction (other): Runny nose and cough

2022-09-26

Systemic reaction (other): Cough and congestion

Release 12 (Under 3) — day 7, dose 1, under 3

2022-09-27

Systemic reaction (other): Cough and 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
SROCough · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓

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

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