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NJM-62193-57174

2 vaccinations 1 coded response 10 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
038 / NH
Registered
2022-06-22
Relationship
Child or adolescent in my care
Guardian
Y9W-10314-54105
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Registered in v-safe
  2. 2022-06-25
    Dose 1 — Moderna
  3. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2022-07-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-09
    Survey response — day 14, dose 1, dependent
    MedDRA: Nasal congestion, Pre-existing disease — Feeling: Good
    Free text: Stuffy nose (likely sessional allergies)
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-16
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-23
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-30
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-08-08
    Health check-in — day 42, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-08-12
    Dose 2 — Moderna
  11. 2022-09-24
  12. 2022-09-26
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-11-13

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-08-12Moderna No

Free text

Release 12 — day 14, dose 1, dependent

2022-07-09

Symptoms: Stuffy nose (likely sessional allergies)

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
SDNasal congestion · · ✓
SDPre-existing disease · · ✓

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