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P2J-29795-83007

1 vaccination 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
970 / OR
Registered
2022-08-11
Relationship
Child or adolescent in my care
Guardian
XEK-31240-82814
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-11
    Registered in v-safe
  2. 2022-08-11
    Dose 1 — Moderna
    Co-administered: Hib:MMR:Other
  3. 2022-08-11
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  4. 2022-08-12
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Sleepiness
    Under 3 check-in
  5. 2022-08-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · Irritability/crying
    Under 3 check-in
  6. 2022-08-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  8. 2022-08-20
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-27
    Survey response — day 14, dose 1, under 3
    MedDRA: Rash — Feeling: Good
    Free text: Rash on back and front
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-09-01
    Survey response — day 21, dose 1, under 3
    MedDRA: Body temperature increased, Irritability, Teething — Feeling: Fair
    Free text: Low grade fevers around 99.5 only at nights the past week of and on. Teething pain and mild fussiness durring the day
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-09-08
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-11Moderna Hib:MMR:Other

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-08-27

Symptoms: Rash on back and front

Release 12 (Under 3) — day 21, dose 1, under 3

2022-09-01

Symptoms: Low grade fevers around 99.5 only at nights the past week of and on. Teething pain and mild fussiness durring the day

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
SDBody temperature increased · · ✓
SDIrritability · · ✓
SDRash · · ✓
SDTeething · · ✓

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