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5KJ-19992-36214

2 vaccinations 1 coded response 25 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
67F-75574-39642
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Registered in v-safe
  2. 2022-06-25
    Dose 1 — Moderna
  3. 2022-06-25
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-09
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-16
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-23
    Dose 2 — Moderna
  14. 2022-07-23
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-07-30
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-08-06
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-08-13
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-20
    Survey response — day 28, dose 2, dependent
    MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Upper respiratory cold
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-08-27
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-03
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-10-22
  28. 2023-01-21

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No

Free text

Release 12 — day 28, dose 2, dependent

2022-08-20

Symptoms: Upper respiratory cold

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
SDNasopharyngitis · · ✓

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

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