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H3F-22368-37195

3 vaccinations 5 coded responses 37 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-06-20
Relationship
Child or adolescent in my care
Guardian
XKB-28493-33676
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-20
    Registered in v-safe
  2. 2022-06-28
    Dose 1 — Moderna
  3. 2022-06-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-26
    Dose 2 — Moderna
  14. 2022-07-26
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-07-31
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Sniffles
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-01
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Sniffles
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-08-02
    Survey response — day 7, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Sniffles, cough
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-09
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-08-16
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-23
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-08-30
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-06
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-10-25
  28. 2023-01-06
    Dose 3 — Moderna
  29. 2023-01-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  30. 2023-01-08
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · None
    Adult check-in
  31. 2023-01-09
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2023-01-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2023-01-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  34. 2023-01-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  35. 2023-01-13
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  36. 2023-01-20
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2023-01-27
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2023-02-03
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  39. 2023-02-10
    Survey response — day 35, dose 3, dependent
    MedDRA: Chills, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school
    MedDRA releases: 2024-11
  40. 2023-02-17
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  41. 2023-04-07
    Survey response — 3 months, dose 3, dependent
    MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-26Moderna No
32023-01-06Moderna No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-31

Systemic reaction (other): Sniffles

2022-08-01

Systemic reaction (other): Sniffles

Release 12 — day 7, dose 2, dependent

2022-08-02

Systemic reaction (other): Sniffles, cough

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
SDChills · · ✓
SDCough · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SROCough · · ✓
SRORhinorrhoea · · ✓

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

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