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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

  1. 2022-07-13
    Registered in v-safe
  2. 2022-07-13
    Dose 1 — Moderna
    Co-administered: Chickenpox:Hib:MMR:Pneumonia
  3. 2022-07-13
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  4. 2022-07-14
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  5. 2022-07-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-17
    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: Good · None
    Under 3 check-in
  8. 2022-07-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-20
    Survey response — day 7, dose 1, under 3
    MedDRA: Hand-foot-and-mouth disease — Feeling: Fair · Fever
    Free text: Hand foot and mouth
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-27
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-03
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-13Moderna Chickenpox:Hib:MMR:Pneumonia

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-20

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

FieldPreferred term2021-092023-042024-11
SROHand-foot-and-mouth disease · · ✓

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