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77V-99879-43212

3 vaccinations 0 coded responses 28 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
971 / OR
Registered
2022-07-12
Relationship
Child or adolescent in my care
Guardian
9MP-70098-68403
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-12
    Registered in v-safe
  2. 2022-07-12
    Dose 1 — Moderna
  3. 2022-07-12
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-14
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Poor · Fever · Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Under 3 check-in
  8. 2022-07-19
    Health check-in — day 7, dose 1, under 3
    Feeling: Fair · Fever · None · Be unable to work or attend school
    Under 3 check-in
  9. 2022-07-26
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-08-02
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-09
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-11
    Dose 2 — Moderna
  13. 2022-08-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Poor · Site: Pain · Fever · Sleepiness, Irritability/crying, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Under 3 check-in
  14. 2022-08-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Diarrhea
    Under 3 check-in
  15. 2022-08-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-15
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-16
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-18
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-25
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-09-01
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-09-08
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-17
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-22
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-11-10
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2023-02-11
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-02-16
    Dose 3 — Moderna
  28. 2023-02-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2023-03-16
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-03-23
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-03-30
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2023-05-18
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-12Moderna No
22022-08-11Moderna No
32023-02-16Moderna No

Free text

None.

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

No MedDRA codes.

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