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86T-17139-30439

1 vaccination 1 coded response 12 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
951 / CA
Registered
2022-07-07
Relationship
Child or adolescent in my care
Guardian
QVX-64206-58077
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-07
    Registered in v-safe
  2. 2022-07-07
    Dose 1 — Moderna
  3. 2022-07-07
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-11
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-12
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-14
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-21
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-28
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-10-07
    Survey response — 3 months, dose 1, under 3
    MedDRA: Lip swelling, Rash — Feeling: Good
    Free text: Rash and minor swelling on lips for a couple days
    MedDRA releases: 2024-11 · check-in free text available
  14. 2023-01-05
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-07Moderna No

Free text

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-10-07

Symptoms: Rash and minor swelling on lips for a couple days

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
SDLip swelling · · ✓
SDRash · · ✓

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

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