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G9D-13771-83108

2 vaccinations 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
549 / WI
Registered
2022-09-18
Relationship
Child or adolescent in my care
Guardian
TQ8-28533-65640
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-14
    Dose 1 — Moderna
  2. 2022-09-14
    Dose 2 — Moderna
  3. 2022-09-18
    Registered in v-safe
  4. 2022-09-18
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  5. 2022-09-21
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · Site: Swelling/hardness · None
    Under 3 check-in
  6. 2022-09-28
    Survey response — day 14, dose 2, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, coughing
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-10-05
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-10-12
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-10-19
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-10-26
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-12-14
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2023-03-15
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-14Moderna No
22022-09-14Moderna No

Free text

Release 12 (Under 3) — day 14, dose 2, under 3

2022-09-28

Symptoms: Runny nose, coughing

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 · · ✓
SDRhinorrhoea · · ✓

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