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MRB-14377-56568

1 vaccination 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
016 / MA
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
RJG-12121-17170
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-06-26
    Dose 1 — Moderna
  3. 2022-06-26
    Survey response — day 0, dose 1, under 3
    MedDRA: Hyperhidrosis — Feeling: Good · Sleepiness
    Free text: Sweaty, maybe due to hot weather
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  5. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-03
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-10
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-17
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-24
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-31
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-07
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-25
    Survey response — 3 months, dose 1, under 3
    MedDRA: Decreased appetite, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Runny nose, fever, decreased appetite. All today. Did rapid COVID test which was negative
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-12-25
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2023-06-26
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-26Moderna No

Free text

Release 12 (Under 3) — day 0, dose 1, under 3

2022-06-26

Systemic reaction (other): Sweaty, maybe due to hot weather

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-09-25

Symptoms: Runny nose, fever, decreased appetite. All today. Did rapid COVID test which was negative

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
SDDecreased appetite · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROHyperhidrosis · · ✓

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

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