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8Y3-99111-15409

1 vaccination 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
985 / WA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
59N-12950-72587
Race
Multiracial
Ethnicity
N/A

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-23
    Registered in v-safe
  3. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-06
    Survey response — day 14, dose 1, under 3
    MedDRA: Injection site rash — Feeling: Good
    Free text: Rash at injection site
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-20
    Survey response — day 28, dose 1, under 3
    MedDRA: Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fever and vomiting
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-27
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-03
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-21
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-12-21
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-06-24
    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 14, dose 1, under 3

2022-07-06

Symptoms: Rash at injection site

Release 12 (Under 3) — day 28, dose 1, under 3

2022-07-20

Symptoms: Fever and vomiting

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
SDInjection site rash · · ✓
SDPyrexia · · ✓
SDVomiting · · ✓

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