N7J-11030-44182
3 vaccinations
2 coded responses
26 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 985 / WA
- Registered
- 2022-10-06
- Relationship
- Child or adolescent in my care
- Guardian
- B5V-23241-29422
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-03
Dose 1 — Moderna
-
2022-10-06
Registered in v-safe
- 2022-10-06
-
2022-10-08
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-10-17
- 2022-10-24
-
2022-10-31
Dose 2 — Moderna
-
2022-10-31
Health check-in — day 0, dose 2, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-09
- 2022-11-14
- 2022-11-21
- 2022-11-30
- 2022-12-05
- 2022-12-12
-
2023-01-30
Survey response — 3 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-28
Dose 3 — Moderna
- 2023-03-28
- 2023-03-30
- 2023-03-31
- 2023-04-01
- 2023-04-02
- 2023-04-04
-
2023-04-11
Survey response — day 14, dose 3, under 3MedDRA: Bronchiolitis, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-18
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-03 | Moderna | No |
| 2 | 2022-10-31 | Moderna | No |
| 3 | 2023-03-28 | 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 | Bronchiolitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release