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FPD-17793-08719

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
070 / NJ
Registered
2022-07-17
Relationship
Child or adolescent in my care
Guardian
SLG-89875-51413
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-07-17
    Registered in v-safe
  3. 2022-07-17
    Survey response — day 21, dose 1, under 3
    MedDRA: Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Tested positive for COVID 19 on July 3 and had a slight fever, cough, and runny nose.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-22
    Dose 2 — Moderna
  5. 2022-07-22
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  7. 2022-07-24
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Tremor — Feeling: Fair · Fever · Irritability/crying · Be unable to do your normal daily activities
    Free text: Shaking
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-26
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Sleepiness, Irritability/crying · Be unable to do your normal daily activities
    Free text: Cough, congestion, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-27
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Coughing, congestion, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  12. 2022-07-29
    Survey response — day 7, dose 2, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Coughing, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-05
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-12
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-19
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-26
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-09-02
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No
22022-07-22Moderna No

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-17

Symptoms: Tested positive for COVID 19 on July 3 and had a slight fever, cough, and runny nose.

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-24

Systemic reaction (other): Shaking

2022-07-26

Systemic reaction (other): Cough, congestion, runny nose

2022-07-27

Systemic reaction (other): Coughing, congestion, runny nose

Release 12 (Under 3) — day 7, dose 2, under 3

2022-07-29

Systemic reaction (other): Coughing, runny nose

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 · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SROCough · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROTremor · · ✓

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