LFV-26645-31247
3 vaccinations
3 coded responses
15 check-ins
0 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 0-4
- ZIP prefix
- 121 / NY
- Registered
- 2022-10-04
- Relationship
- Child or adolescent in my care
- Guardian
- EJ9-22283-19559
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-21
Dose 1 — Moderna
-
2022-10-04
Registered in v-safe
- 2022-10-04
- 2022-10-05
- 2022-10-12
-
2022-10-19
Dose 2 — Moderna
- 2022-11-04
- 2022-11-09
- 2022-11-16
- 2022-11-30
-
2023-01-19
Survey response — 3 months, dose 2, under 3MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-16
Dose 3 — Moderna
-
2023-03-22
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Injection site pain, Irritability, Somnolence — Feeling: GoodMedDRA releases: 2024-11
- 2023-03-23
- 2023-04-06
-
2023-04-13
Survey response — day 28, dose 3, under 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-21
- 2023-04-28
- 2023-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-21 | Moderna | No |
| 2 | 2022-10-19 | Moderna | No |
| 3 | 2023-03-16 | Moderna | No |
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release