N9H-11986-89777
1 vaccination
1 coded response
6 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 300 / GA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- XUZ-66468-99454
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — ModernaCo-administered: Hib:Polio:Rotavirus:Tetanus
-
2022-06-29
Registered in v-safe
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/crying, Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-07-02
- 2022-07-09
-
2022-07-16
Survey response — day 21, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2023-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | Hib:Polio:Rotavirus:Tetanus |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Runny nose
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 | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release