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GS5-33421-01923

1 vaccination 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
941 / CA
Registered
2022-09-17
Relationship
Child or adolescent in my care
Guardian
9QB-16876-24395
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-03
    Dose 1 — Moderna
  2. 2022-09-17
    Registered in v-safe
  3. 2022-09-17
    Survey response — day 42, dose 1, under 3
    MedDRA: COVID-19, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had COVID with a mild fever
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-11-04
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2023-02-03
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-03Moderna No

Free text

Release 12 (Under 3) — day 42, dose 1, under 3

2022-09-17

Symptoms: Had COVID with a mild fever

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
SDCOVID-19 · · ✓
SDPyrexia · · ✓

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