5JQ-81500-88572
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 462 / IN
- Registered
- 2022-09-29
- Relationship
- Child or adolescent in my care
- Guardian
- EYL-12195-65193
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-29
Registered in v-safe
-
2022-09-29
Dose 1 — ModernaCo-administered: Hib:Pneumonia:Rotavirus:Tetanus
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2022-09-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Redness · Irritability/cryingUnder 3 check-in
-
2022-10-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Redness · Irritability/crying, DiarrheaUnder 3 check-in
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2022-10-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Redness · NoneUnder 3 check-in
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2022-10-05
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: Fair · Site: Swelling/hardnessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Survey response — day 7, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Good · Site: Swelling/hardnessFree text: Runny nose & coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
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2022-10-27
Survey response — day 28, dose 1, under 3MedDRA: Insomnia, Irritability, Teething — Feeling: GoodFree text: Last week, didn't finish the check in, but she was more irritable with difficulty sleeping and we were unsure with multiple reasons in differential diagnosis options. Found this week, she has multiple teeth coming through.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
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2022-11-10
Survey response — day 42, dose 1, under 3MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Currently dealing with colds: runny noses, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-29 | Moderna | Hib:Pneumonia:Rotavirus:Tetanus |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Runny nose
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Runny nose & cough
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Last week, didn't finish the check in, but she was more irritable with difficulty sleeping and we were unsure with multiple reasons in differential diagnosis options. Found this week, she has multiple teeth coming through.
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Currently dealing with colds: runny noses, 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Insomnia | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Teething | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release