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HM4-80701-31097

3 vaccinations 1 coded response 16 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
021 / MA
Registered
2022-06-30
Relationship
Child or adolescent in my care
Guardian
JF2-21032-05588
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-30
    Registered in v-safe
  2. 2022-07-01
    Dose 1 — Moderna
  3. 2022-07-01
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Site: Pain · Fever · Sleepiness
    Under 3 check-in
  4. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-08
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  11. 2022-07-15
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-22
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-29
    Dose 2 — Moderna
  14. 2022-10-28
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2023-01-30
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-04-17
    Dose 3 — Moderna
  17. 2023-05-11
    Survey response — day 21, dose 3, under 3
    MedDRA: Gastrointestinal viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  18. 2023-05-15
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  19. 2023-05-22
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  20. 2023-05-29
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Moderna No
22022-07-29Moderna No
32023-04-17Moderna No

Free text

None.

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
SDGastrointestinal viral infection · · ✓

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

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