LA6-29613-20056
2 vaccinations
3 coded responses
8 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2023-03-21
- Relationship
- Child or adolescent in my care
- Guardian
- BP5-34002-10358
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-03-02
Dose 1 — ModernaCo-administered: Flu:Hib:Polio:Rotavirus:Tetanus
-
2023-03-21
Registered in v-safe
-
2023-03-21
Survey response — day 14, dose 1, under 3MedDRA: Cough — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-03-23
Survey response — day 21, dose 1, under 3MedDRA: Cough, Ear infection, Eye infection, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-30
Dose 2 — ModernaCo-administered: Flu:Hepatitis B
-
2023-03-30
Health check-in — day 0, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-03-31
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · NoneUnder 3 check-in
- 2023-04-01
- 2023-04-05
- 2023-04-06
-
2023-06-29
Survey response — 3 months, dose 2, under 3MedDRA: Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-03-02 | Moderna | Flu:Hib:Polio:Rotavirus:Tetanus |
| 2 | 2023-03-30 | Moderna | Flu:Hepatitis B |
Free text
None.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release