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5YS-13622-08370

1 vaccination 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
958 / CA
Registered
2022-07-08
Relationship
Child or adolescent in my care
Guardian
R46-16570-90244
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-07-08
    Registered in v-safe
  3. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-07-13
    Survey response — day 21, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: COVID illness, day 1 was 1 week after she received first dose
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-09-23
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-12-22
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2023-06-22
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-13

Symptoms: COVID illness, day 1 was 1 week after she received first dose

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
SDCOVID-19 · · ✓

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