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
-
2022-08-11
Registered in v-safe
-
2022-08-11
Dose 1 — ModernaCo-administered: Hib:MMR:Other
-
2022-08-11
Health check-in — day 0, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-08-12
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · SleepinessUnder 3 check-in
-
2022-08-13
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Redness · Irritability/cryingUnder 3 check-in
- 2022-08-15
-
2022-08-17
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-08-20
-
2022-08-27
Survey response — day 14, dose 1, under 3MedDRA: Rash — Feeling: GoodFree text: Rash on back and frontMedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Survey response — day 21, dose 1, under 3MedDRA: Body temperature increased, Irritability, Teething — Feeling: FairFree text: Low grade fevers around 99.5 only at nights the past week of and on. Teething pain and mild fussiness durring the dayMedDRA releases: 2024-11 · check-in free text available
- 2022-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-11 | Moderna | Hib:MMR:Other |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Rash on back and front
Release 12 (Under 3) — day 21, dose 1, under 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature increased | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Teething | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release