9BK-29877-16267
1 vaccination
5 coded responses
12 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- SUD-91408-36197
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
- 2022-06-25
-
2022-06-26
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: Fair · FeverFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Conjunctivitis, Ear pain, Respiratory tract congestion — Feeling: Poor · Sleepiness, Irritability/crying · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Unrelated to vaccine- conjunctivitis, congestion, ear painMedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Conjunctivitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Sleepiness, Irritability/crying · Be unable to work or attend schoolFree text: Conjunctivitis and congestion and runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness · Be unable to work or attend schoolUnder 3 check-in
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2022-07-04
Health check-in — day 7, dose 1, under 3Feeling: Fair · Sleepiness · Be unable to work or attend schoolUnder 3 check-in
- 2022-07-11
- 2022-07-16
- 2022-09-24
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2022-12-24
Health check-in — 6 months, dose 1, under 3Feeling: GoodFree text: Coughing, runny noseUnder 3 check-in · check-in free text available
-
2023-06-27
Survey response — 12 months, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Runny nose
Systemic reaction (other): Runny nose
Systemic reaction (other): Unrelated to vaccine- conjunctivitis, congestion, ear pain
Systemic reaction (other): Conjunctivitis and congestion and runny nose
Release 12 (Under 3) — 6 months, dose 1, under 3
Symptoms: Coughing, runny nose
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 |
|---|---|---|---|---|
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Conjunctivitis | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release