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J8P-33113-57922

1 vaccination 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
—
Age at first dose
0-4
ZIP prefix
752 / TX
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
5S8-19382-05466
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-20
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-09-27
    Survey response — 3 months, dose 1, dependent
    MedDRA: Ear infection, Malaise, Viral infection — Feeling: Good · Be unable to work or attend school
    Free text: Had a virus right after school started (symptoms matched covid) and then a couple weeks later an ear infection but she is better now
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-12-26
    Survey response — 6 months, dose 1, dependent
    MedDRA: Influenza, Respiratory syncytial virus infection, Sinusitis, Urticaria — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Flu, Sinus Infection, RSV, possible allergic reaction to amoxicillin or a viral infection where she developed external full body hives that lasted 4 days.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2023-06-29

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No

Free text

Release 12 — 3 months, dose 1, dependent

2022-09-27

Symptoms: Had a virus right after school started (symptoms matched covid) and then a couple weeks later an ear infection but she is better now

Release 12 — 6 months, dose 1, dependent

2022-12-26

Symptoms: Flu, Sinus Infection, RSV, possible allergic reaction to amoxicillin or a viral infection where she developed external full body hives that lasted 4 days.

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
SDEar infection · · ✓
SDInfluenza · · ✓
SDMalaise · · ✓
SDRespiratory syncytial virus infection · · ✓
SDSinusitis · · ✓
SDUrticaria · · ✓
SDViral infection · · ✓

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