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A9W-32231-78496

3 vaccinations 1 coded response 30 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
850 / AZ
Registered
2022-10-29
Relationship
Child or adolescent in my care
Guardian
ZA9-29396-71569
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-26
    Dose 1 — Moderna
  2. 2022-10-29
    Registered in v-safe
  3. 2022-10-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-10-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-10-31
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-11-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-11-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-11-09
    Survey response — day 14, dose 1, under 3
    MedDRA: Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Runny nose, fever
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-11-23
    Dose 2 — Moderna
  11. 2022-11-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-11-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-11-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-11-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-11-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-11-30
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-12-07
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-12-14
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-12-21
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-12-28
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2023-01-04
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2023-01-27
    Dose 3 — Moderna
  23. 2023-01-29
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  24. 2023-01-30
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2023-01-31
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  26. 2023-02-01
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2023-02-02
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2023-02-03
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2023-02-10
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-02-17
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-02-27
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2023-03-03
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-03-10
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-04-28
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-26Moderna No
22022-11-23Moderna No
32023-01-27Moderna No

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-11-09

Symptoms: Runny nose, fever

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
SDPyrexia · · ✓
SDRhinorrhoea · · ✓

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

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