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L9R-11659-30203

2 vaccinations 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
631 / MO
Registered
2022-07-02
Relationship
Child or adolescent in my care
Guardian
74Q-19002-40916
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-29
    Dose 1 — Moderna
  2. 2022-07-02
    Registered in v-safe
  3. 2022-07-03
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Headache — Feeling: Good
    Free text: Headache
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-27
    Dose 2 — Moderna
  5. 2022-07-27
    Health check-in — day 0, dose 2, under 3
    Feeling: Fair · Sleepiness
    Under 3 check-in
  6. 2022-08-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-09-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-10-29
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-29Moderna No
22022-07-27Moderna No

Free text

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

2022-07-03

Systemic reaction (other): Headache

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
SROHeadache · · ✓

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