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AR2-11227-17871

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
105 / NY
Registered
2022-07-02
Relationship
Child or adolescent in my care
Guardian
BFJ-81507-71092
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-01
    Dose 1 — Moderna
  2. 2022-07-02
    Registered in v-safe
  3. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain, Redness · None
    Under 3 check-in
  4. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-08
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-15
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-27
    Survey response — day 21, dose 1, under 3
    MedDRA: COVID-19, Cough, Lethargy, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid positive: fever, lethargy, cough
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-29
    Survey response — day 28, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Diagnosed COVID-19
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-08-05
    Dose 2 — Moderna
  12. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Swelling/hardness · None
    Under 3 check-in
  13. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-11
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-14
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-21
    Survey response — day 14, dose 2, under 3
    MedDRA: Hand-foot-and-mouth disease — Feeling: Good
    Free text: (b)(6) has contracted hand foot mouth virus.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-26
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-02
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-09-11
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-09-16
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-11-06
    Survey response — 3 months, dose 2, under 3
    MedDRA: Conjunctivitis, Ear infection, Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Ear infection. Pink eye. RSV.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Moderna No
22022-08-05Moderna No

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-27

Symptoms: Covid positive: fever, lethargy, cough

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

2022-07-29

Symptoms: Diagnosed COVID-19

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-21

Symptoms: (b)(6) has contracted hand foot mouth virus.
redacted (b)(6)

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-11-06

Symptoms: Ear infection. Pink eye. RSV.

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
SDConjunctivitis · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDEar infection · · ✓
SDHand-foot-and-mouth disease · · ✓
SDLethargy · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓

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