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MJM-19608-37270

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
660 / KS
Registered
2022-07-19
Relationship
Child or adolescent in my care
Guardian
EPN-14755-76931
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-07-19
    Registered in v-safe
  3. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-07-23
    Dose 2 — Moderna
  5. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Pain · Sleepiness, Irritability/crying
    Under 3 check-in
  6. 2022-07-26
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Irritability/crying
    Free text: bruising at injection site
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-27
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying
    Free text: bruising at injection site
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  9. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-30
    Survey response — day 7, dose 2, under 3
    MedDRA: Frequent bowel movements — Feeling: Good
    Free text: Not diarrhea but increased bowel movements since the first dose
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-08-08
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-26

Systemic reaction (other): bruising at injection site

2022-07-27

Systemic reaction (other): bruising at injection site

Release 12 (Under 3) — day 7, dose 2, under 3

2022-07-30

Systemic reaction (other): Not diarrhea but increased bowel movements since the first dose

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
SROFrequent bowel movements · · ✓
SROInjection site bruising · · ✓

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

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