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K36-19120-40465

2 vaccinations 3 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
209 / MD
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
CCK-28769-16123
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-27
    Registered in v-safe
  3. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-06
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-20
    Dose 2 — Moderna
  9. 2022-07-20
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  10. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Pain · Fever · Irritability/crying
    Under 3 check-in
  11. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-27
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-03
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-08-10
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-17
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-08-31
    Survey response — day 42, dose 2, under 3
    MedDRA: Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cold (congestion, fever)
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-10-19
    Survey response — 3 months, dose 2, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose and cough
    MedDRA releases: 2024-11 · check-in free text available
  21. 2023-01-18
    Survey response — 6 months, dose 2, under 3
    MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No

Free text

Release 12 (Under 3) — day 42, dose 2, under 3

2022-08-31

Symptoms: Cold (congestion, fever)

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-19

Symptoms: Runny nose and 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 · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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