G34-13664-05300
2 vaccinations
2 coded responses
21 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 190 / PA
- Registered
- 2023-03-31
- Relationship
- Child or adolescent in my care
- Guardian
- MZG-28552-74679
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-03-31
Registered in v-safe
-
2023-03-31
Dose 1 — ModernaCo-administered: Flu:Hib:Pneumonia:Polio:Rotavirus:Tetanus
- 2023-03-31
- 2023-04-01
-
2023-04-02
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Teething — Feeling: Fair · Irritability/cryingMedDRA releases: 2024-11
- 2023-04-03
- 2023-04-05
- 2023-04-06
- 2023-04-07
- 2023-04-14
- 2023-04-21
-
2023-04-28
Dose 2 — ModernaCo-administered: Flu
- 2023-04-28
- 2023-04-29
- 2023-04-30
- 2023-05-01
- 2023-05-03
- 2023-05-04
- 2023-05-05
- 2023-05-12
-
2023-05-19
Survey response — day 21, dose 2, under 3MedDRA: Salmonellosis — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-05-26
- 2023-06-02
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-03-31 | Moderna | Flu:Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2023-04-28 | 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 |
|---|---|---|---|---|
| SD | Salmonellosis | · | · | ✓ |
| SRO | Teething | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release