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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

  1. 2022-09-21
    Dose 1 — Moderna
  2. 2022-10-04
    Registered in v-safe
  3. 2022-10-04
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-10-05
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-10-12
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-10-19
    Dose 2 — Moderna
  7. 2022-11-04
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-11-09
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-11-16
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-11-30
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2023-01-19
    Survey response — 3 months, dose 2, under 3
    MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  12. 2023-03-16
    Dose 3 — Moderna
  13. 2023-03-22
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Injection site pain, Irritability, Somnolence — Feeling: Good
    MedDRA releases: 2024-11
  14. 2023-03-23
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2023-04-06
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-04-13
    Survey response — day 28, dose 3, under 3
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  17. 2023-04-21
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-04-28
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  19. 2023-06-15
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-09-21Moderna No
22022-10-19Moderna No
32023-03-16Moderna 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

FieldPreferred term2021-092023-042024-11
SDInfluenza · · ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SROInjection site pain · · ✓
SROIrritability · · ✓
SROSomnolence · · ✓

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