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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

  1. 2022-09-29
    Registered in v-safe
  2. 2022-09-29
    Dose 1 — Moderna
    Co-administered: Hib:Pneumonia:Rotavirus:Tetanus
  3. 2022-09-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · Irritability/crying
    Under 3 check-in
  4. 2022-10-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · Irritability/crying, Diarrhea
    Under 3 check-in
  5. 2022-10-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  6. 2022-10-05
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Swelling/hardness
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-10-06
    Survey response — day 7, dose 1, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Good · Site: Swelling/hardness
    Free text: Runny nose & cough
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-10-13
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-10-27
    Survey response — day 28, dose 1, under 3
    MedDRA: Insomnia, Irritability, Teething — Feeling: Good
    Free 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
  10. 2022-11-03
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-11-10
    Survey response — day 42, dose 1, under 3
    MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair
    Free text: Currently dealing with colds: runny noses, congestion.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-12-29
    Health check-in — 3 months, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  13. 2023-03-30
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-09-29Moderna Hib:Pneumonia:Rotavirus:Tetanus

Free text

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

2022-10-05

Systemic reaction (other): Runny nose

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

2022-10-06

Systemic reaction (other): Runny nose & cough

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

2022-10-27

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

2022-11-10

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

FieldPreferred term2021-092023-042024-11
SDInsomnia · · ✓
SDIrritability · · ✓
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDTeething · · ✓
SROCough · · ✓
SRORhinorrhoea · · ✓

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