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HAZ-38631-71132

2 vaccinations 2 coded responses 20 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
200 / DC
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
C2Z-12798-96934
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-21
    Dose 1 — Moderna
    Co-administered: Do not remember
  2. 2022-06-26
    Registered in v-safe
  3. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-28
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-05
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-12
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-19
    Dose 2 — Moderna
  9. 2022-07-19
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-26
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-02
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-09
    Survey response — day 21, dose 2, under 3
    MedDRA: Lethargy — Feeling: Fair
    Free text: Lethargy
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-16
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-08-23
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-30
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-18
    Survey response — 3 months, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Covid 19
    MedDRA releases: 2024-11 · check-in free text available
  23. 2023-01-17
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-21Moderna Do not remember
22022-07-19Moderna No

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-09

Symptoms: Lethargy

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

2022-10-18

Symptoms: Covid 19

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 · · ✓
SDLethargy · · ✓

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

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