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M79-22845-36032

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-07-20
Relationship
Child or adolescent in my care
Guardian
ZGX-12547-16233
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-07-20
    Registered in v-safe
  3. 2022-07-20
    Survey response — day 21, dose 1, under 3
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school
    Free text: Mild cold, resolved
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-26
    Dose 2 — Moderna
  5. 2022-07-26
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  6. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-02
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-11
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-16
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-23
    Survey response — day 28, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-30
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-06
    Survey response — day 42, dose 2, under 3
    MedDRA: Cough — Feeling: Fair · Be unable to work or attend school
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-10-25
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-01-24
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-26Moderna No

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-20

Symptoms: Mild cold, resolved

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-23

Symptoms: Runny nose

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

2022-09-06

Symptoms: 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 · · ✓
SDRhinorrhoea · · ✓

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

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