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CLL-19651-41447

1 vaccination 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
326 / FL
Registered
2022-06-30
Relationship
Child or adolescent in my care
Guardian
U8B-21089-51969
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-06-30
    Registered in v-safe
  3. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · Sleepiness
    Under 3 check-in
  4. 2022-07-01
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-15
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-22
    Survey response — day 28, dose 1, under 3
    MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fever Fatigue
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-29
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-08-05
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-09-23
    Survey response — 3 months, dose 1, under 3
    MedDRA: Pyrexia, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fever Sleep disturbance
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-12-23
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2023-06-24
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Free text

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

2022-07-22

Symptoms: Fever Fatigue

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-09-23

Symptoms: Fever Sleep disturbance

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
SDFatigue · · ✓
SDPyrexia · · ✓
SDSleep disorder · · ✓

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

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