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BB9-10854-47238

2 vaccinations 0 coded responses 13 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
925 / CA
Registered
2022-09-10
Relationship
Child or adolescent in my care
Guardian
GD5-40460-80158
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-12
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Hib:Other:Polio:Tetanus
  2. 2022-09-09
    Dose 2 — Moderna
    Co-administered: Flu
  3. 2022-09-10
    Registered in v-safe
  4. 2022-09-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Poor · Site: Pain, Redness, Swelling/hardness · Fever · Irritability/crying, Loss of appetite, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Under 3 check-in
  5. 2022-09-11
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Pain · Fever · Irritability/crying
    Under 3 check-in
  6. 2022-09-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Loss of appetite
    Under 3 check-in
  7. 2022-09-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  8. 2022-09-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-09-16
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-09-23
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-30
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-10-07
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-10-14
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-10-21
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-12-11
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-03-10
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-12Moderna Hepatitis B:Hib:Other:Polio:Tetanus
22022-09-09Moderna Flu

Free text

None.

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

No MedDRA codes.

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