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DBJ-26015-14109

3 vaccinations 1 coded response 20 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
190 / PA
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
3VL-18264-11157
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-30
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-21
    Dose 2 — Moderna
  8. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain · Sleepiness
    Under 3 check-in
  9. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-28
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-04
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-11
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-18
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-08-25
    Survey response — day 35, dose 2, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, night time cough
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-01
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-10-20
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2023-01-19
    Health check-in — 6 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  21. 2023-02-14
    Dose 3 — Moderna
  22. 2023-03-22
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  23. 2023-03-28
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  24. 2023-05-16
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-21Moderna No
32023-02-14Moderna No

Free text

Release 12 (Under 3) — day 35, dose 2, under 3

2022-08-25

Symptoms: Runny nose, night time cough

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
SDCough · · ✓
SDRhinorrhoea · · ✓

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

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