H3X-16966-36459
3 vaccinations
2 coded responses
22 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 972 / OR
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 5XW-24384-01073
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/crying, Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-06-29
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-01
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Irritability — Feeling: Fair · Irritability/cryingFree text: (He is teething so I believe that is where his irritability comes from)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
- 2022-07-09
- 2022-07-18
-
2022-07-23
Dose 2 — Moderna
- 2022-07-25
- 2022-07-26
-
2022-07-27
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Irritability — Feeling: Fair · Irritability/cryingFree text: *irritability could be due to teethingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-09-03
- 2022-10-22
- 2023-01-21
-
2023-02-02
Dose 3 — ModernaCo-administered: Do not remember
- 2023-03-21
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
| 3 | 2023-02-02 | Moderna | Do not remember |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): (He is teething so I believe that is where his irritability comes from)
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): *irritability could be due to teething
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 |
|---|---|---|---|---|
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release