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6RB-12340-72480

1 vaccination 1 coded response 4 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
028 / RI
Registered
2022-07-03
Relationship
Child or adolescent in my care
Guardian
CEJ-68222-83521
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-07-03
    Registered in v-safe
  3. 2022-07-03
    Survey response — day 7, dose 1, under 3
    MedDRA: Injection site rash — Feeling: Good · Site: Redness
    Free text: Started one week after injection, one inch splotchy rash at injection site. No other symptoms and she is not bothered!
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-09-23
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-12-25
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Free text

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

2022-07-03

Systemic reaction (other): Started one week after injection, one inch splotchy rash at injection site. No other symptoms and she is not bothered!

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
SROInjection site rash · · ✓

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