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JV7-26417-07630

1 vaccination 1 coded response 10 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
220 / VA
Registered
2022-07-06
Relationship
Child or adolescent in my care
Guardian
EB9-21715-04695
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-07-05
    Dose 1 — Moderna
  2. 2022-07-06
    Registered in v-safe
  3. 2022-07-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-07-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  6. 2022-07-12
    Survey response — day 7, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-19
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-28
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-08-04
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-08-16
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-10-06
    Health check-in — 3 months, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  12. 2023-01-03
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-05Moderna No

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-12

Systemic reaction (other): Runny nose

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
SRORhinorrhoea · · ✓

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