92J-65194-19725
1 vaccination
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 500 / IA
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- 2G4-97430-13910
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-13
Registered in v-safe
-
2022-07-13
Dose 1 — ModernaCo-administered: Chickenpox:Hib:MMR:Pneumonia
-
2022-07-13
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-14
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-15
- 2022-07-17
- 2022-07-18
- 2022-07-19
-
2022-07-20
Survey response — day 7, dose 1, under 3MedDRA: Hand-foot-and-mouth disease — Feeling: Fair · FeverFree text: Hand foot and mouthMedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-13 | Moderna | Chickenpox:Hib:MMR:Pneumonia |
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Hand foot and mouth
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Hand-foot-and-mouth disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release