DV3-22796-90881
2 vaccinations
1 coded response
18 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 972 / OR
- Registered
- 2023-01-03
- Relationship
- Child or adolescent in my care
- Guardian
- TAQ-33396-10450
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-01-03
Registered in v-safe
-
2023-01-03
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Other:Polio:Rotavirus:Tetanus
-
2023-01-03
Health check-in — day 0, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-01-04
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-01-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2023-01-06
-
2023-01-07
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-01-08
- 2023-01-10
- 2023-01-17
- 2023-01-24
-
2023-02-02
Dose 2 — ModernaCo-administered: Flu
-
2023-02-02
Health check-in — day 0, dose 2, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
- 2023-02-04
- 2023-02-05
- 2023-02-07
- 2023-02-08
-
2023-02-11
Survey response — day 7, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-18
- 2023-03-02
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-03 | Moderna | Flu:Hepatitis B:Other:Polio:Rotavirus:Tetanus |
| 2 | 2023-02-02 | Moderna | 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release