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7S6-11567-12946

3 vaccinations 3 coded responses 17 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
900 / CA
Registered
2022-09-10
Relationship
Child or adolescent in my care
Guardian
D6F-33285-83257
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-07-01
    Dose 1 — Moderna
  2. 2022-08-12
    Dose 2 — Moderna
  3. 2022-09-10
    Registered in v-safe
  4. 2022-09-10
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-09-16
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2022-09-24
    Survey response — day 42, dose 2, dependent
    MedDRA: Nasopharyngitis, Pyrexia — Feeling: Fair
    Free text: Experience a cold and mild fever. Probably got from school.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-11-11
    Survey response — 3 months, dose 2, dependent
    MedDRA: Cough, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Cold with fever, runny nose and cough
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-12-22
    Dose 3 — Pfizer-BioNTech
  9. 2022-12-23
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-12-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Fever · None
    Adult check-in
  11. 2022-12-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-12-27
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-12-28
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-12-29
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  15. 2023-01-07
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2023-01-12
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2023-01-22
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2023-01-26
    Survey response — day 35, dose 3, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11
  19. 2023-02-02
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  20. 2023-03-23
  21. 2023-06-23

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Moderna No
22022-08-12Moderna No
32022-12-22Pfizer-BioNTech No

Free text

Release 12 — day 42, dose 2, dependent

2022-09-24

Symptoms: Experience a cold and mild fever. Probably got from school.

Release 12 — 3 months, dose 2, dependent

2022-11-11

Symptoms: Cold with fever, runny nose and cough

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
SDCough · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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