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EE9-14262-58102

1 vaccination 1 coded response 16 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
662 / KS
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
YR4-21809-36133
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Registered in v-safe
  2. 2022-06-23
    Dose 1 — Moderna
  3. 2022-06-23
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Vomiting
    Under 3 check-in
  4. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · None
    Under 3 check-in
  5. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying, Loss of appetite, Vomiting
    Under 3 check-in
  6. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  7. 2022-06-27
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Irritability/crying · Be unable to work or attend school
    Free text: Tested positive for Covid
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying · Be unable to work or attend school
    Under 3 check-in
  9. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-06-30
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  11. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-21
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-07-29
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-04
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-09-22
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-12-22
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-06-23
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-27

Systemic reaction (other): Tested positive for Covid

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
SROSARS-CoV-2 test positive · · ✓

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

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