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GZF-31284-28402

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
535 / WI
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
4SU-10000-46310
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Registered in v-safe
  2. 2022-06-28
    Dose 1 — Moderna
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-04
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough, Illness — Feeling: Fair · Fever
    Free text: Cough - likely daycare illness and unrelated to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-05
    Health check-in — day 7, dose 1, under 3
    Feeling: Fair · Fever · Sleepiness, Loss of appetite · Be unable to work or attend school
    Under 3 check-in
  9. 2022-07-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-27
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-29
    Dose 2 — Moderna
  13. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-07
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-12
    Survey response — day 14, dose 2, under 3
    MedDRA: Diarrhoea, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Diarrhea, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-09-04
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-09-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-10-30
    Survey response — 3 months, dose 2, under 3
    MedDRA: Pre-existing disease, Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school
    Free text: RSV, Allergies, potential asthma
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-29Moderna No

Free text

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

2022-07-04

Systemic reaction (other): Cough - likely daycare illness and unrelated to vaccine

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

2022-08-12

Symptoms: Diarrhea, runny nose

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-30

Symptoms: RSV, Allergies, potential asthma

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
SDDiarrhoea · · ✓
SDPre-existing disease · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRhinorrhoea · · ✓
SROCough · · ✓
SROIllness · · ✓

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