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JMP-29072-93164

1 vaccination 1 coded response 6 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
980 / WA
Registered
2022-12-13
Relationship
Child or adolescent in my care
Guardian
63E-19301-30055
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-11-22
    Dose 1 — Moderna
    Co-administered: Flu:Hib:Polio:Rotavirus:Tetanus
  2. 2022-12-13
    Registered in v-safe
  3. 2022-12-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-12-20
    Health check-in — day 28, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  5. 2022-12-27
    Survey response — day 35, dose 1, under 3
    MedDRA: Cough, Pain, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Runny nose. Coughing. Fever. Aches
    MedDRA releases: 2024-11 · check-in free text available
  6. 2023-01-03
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2023-02-21
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2023-05-25
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-11-22Moderna Flu:Hib:Polio:Rotavirus:Tetanus

Free text

Release 12 (Under 3) — day 35, dose 1, under 3

2022-12-27

Symptoms: Runny nose. Coughing. Fever. Aches

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 · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓

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