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FZE-33782-30447

3 vaccinations 5 coded responses 34 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
454 / OH
Registered
2022-08-12
Relationship
Child or adolescent in my care
Guardian
TQX-43693-19344
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-12
    Registered in v-safe
  2. 2022-08-12
    Dose 1 — Moderna
  3. 2022-08-12
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-08-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  5. 2022-08-14
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · Loss of appetite
    Under 3 check-in
  6. 2022-08-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-16
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-19
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-26
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-02
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-09
    Dose 2 — Moderna
  14. 2022-09-09
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-09-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  16. 2022-09-11
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-09-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-09-16
    Health check-in — day 7, dose 2, under 3
    Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite, Vomiting · Be unable to do your normal daily activities
    Under 3 check-in
  19. 2022-09-23
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-30
    Survey response — day 21, dose 2, under 3
    MedDRA: Ear infection, Respiratory tract congestion — Feeling: Good
    Free text: Ear infection and congestion
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-07
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-14
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-10-21
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-12-09
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2023-02-17
    Dose 3 — Moderna
  26. 2023-02-18
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  27. 2023-02-19
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Loss of appetite
    Under 3 check-in
  28. 2023-02-20
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  29. 2023-02-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  30. 2023-02-22
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Epistaxis — Feeling: Good
    MedDRA releases: 2024-11
  31. 2023-02-23
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-02-24
    Survey response — day 7, dose 3, under 3
    MedDRA: Ear infection — Feeling: Good
    MedDRA releases: 2024-11
  33. 2023-03-03
    Survey response — day 14, dose 3, under 3
    MedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  34. 2023-03-10
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-03-17
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-03-24
    Survey response — day 35, dose 3, under 3
    MedDRA: Vomiting — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11
  37. 2023-03-31
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-05-19
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-12Moderna No
22022-09-09Moderna No
32023-02-17Moderna No

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-09-30

Symptoms: Ear infection and congestion

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
SDEar infection · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDVomiting · · ✓
SROEar infection · · ✓
SROEpistaxis · · ✓

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

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