BXT-32109-34825
3 vaccinations
2 coded responses
9 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2023-04-28
- Relationship
- Child or adolescent in my care
- Guardian
- LJ4-18002-64895
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-24
Dose 1 — ModernaCo-administered: Hib:Pneumonia:Polio:Rotavirus:Tetanus
-
2022-08-25
Dose 2 — Moderna
-
2023-04-25
Dose 3 — ModernaCo-administered: Hib:Tetanus
-
2023-04-28
Registered in v-safe
- 2023-04-28
- 2023-04-30
- 2023-05-01
- 2023-05-03
-
2023-05-09
Survey response — day 14, dose 3, under 3MedDRA: Fatigue, Irritability, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-16
- 2023-05-23
-
2023-05-30
Survey response — day 35, dose 3, under 3MedDRA: Body temperature increased — Feeling: FairMedDRA releases: 2024-11
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-24 | Moderna | Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2022-08-25 | Moderna | No |
| 3 | 2023-04-25 | Moderna | Hib:Tetanus |
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release