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JUX-27532-96026

3 vaccinations 1 coded response 24 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
972 / OR
Registered
2022-07-11
Relationship
Child or adolescent in my care
Guardian
N3H-24134-31144
Race
White
Ethnicity
N/A

Timeline

  1. 2022-07-11
    Registered in v-safe
  2. 2022-07-11
    Dose 1 — Moderna
  3. 2022-07-11
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2022-07-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-18
    Survey response — day 7, dose 1, dependent
    MedDRA: Ear pain, Oral discomfort — Feeling: Good
    Free text: Some ear pain. Said his "mouth felt weird." But as a four year old could not elaborate.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-25
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-08-08
    Dose 2 — Moderna
  13. 2022-08-08
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2022-08-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-08-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-08-15
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-08-23
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-08-30
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-09-09
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-09-12
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-11-07
  24. 2023-02-06
  25. 2023-02-09
    Dose 3 — Moderna
  26. 2023-03-21
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2023-03-24
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2023-05-11

Vaccinations

DoseDateManufacturerCo-administered
12022-07-11Moderna No
22022-08-08Moderna No
32023-02-09Moderna No

Free text

Release 12 — day 7, dose 1, dependent

2022-07-18

Systemic reaction (other): Some ear pain. Said his "mouth felt weird." But as a four year old could not elaborate.

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
SROEar pain · · ✓
SROOral discomfort · · ✓

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

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