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NZR-76659-28378

2 vaccinations 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
028 / RI
Registered
2022-06-30
Relationship
Child or adolescent in my care
Guardian
8VZ-22776-67107
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-30
    Registered in v-safe
  2. 2022-06-30
    Dose 1 — Moderna
  3. 2022-06-30
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-06
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Urticaria — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Free text: Hives
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-07
    Health check-in — day 7, dose 1, dependent
    Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2022-07-14
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-21
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-28
    Dose 2 — Moderna
  12. 2022-08-04
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-11
    Health check-in — day 14, dose 2, dependent
    Feeling: Fair
    Adult check-in
  14. 2022-08-18
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-09-01
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-09-08
    Survey response — day 42, dose 2, dependent
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-29
  18. 2023-01-26

Vaccinations

DoseDateManufacturerCo-administered
12022-06-30Moderna No
22022-07-28Moderna No

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-07-06

Systemic reaction (other): Hives

Release 12 — day 42, dose 2, dependent

2022-09-08

Symptoms: Cough

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
SDCough · · ✓
SROUrticaria · · ✓

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