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JJS-27019-07022

3 vaccinations 3 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
911 / CA
Registered
2022-08-10
Relationship
Child or adolescent in my care
Guardian
MF7-17864-14733
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-07
    Dose 1 — Moderna
  2. 2022-08-09
    Dose 2 — Moderna
  3. 2022-08-10
    Registered in v-safe
  4. 2022-08-10
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Epistaxis — Feeling: Good
    Free text: Overnight had a Bloody nose after the 2nd shot
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-08-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-08-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-15
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-16
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-23
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-30
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-06
    Survey response — day 28, dose 2, under 3
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-09-13
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-20
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-11-08
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-01-23
    Dose 3 — Moderna
  17. 2023-02-07
    Survey response — 6 months, dose 2, under 3
    MedDRA: Productive cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  18. 2023-04-26
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-07Moderna No
22022-08-09Moderna No
32023-01-23Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-08-10

Systemic reaction (other): Overnight had a Bloody nose after the 2nd shot

Release 12 (Under 3) — day 28, dose 2, under 3

2022-09-06

Symptoms: 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
SDCough · · ✓
SDProductive cough · · ✓
SROEpistaxis · · ✓

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

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