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P35-12110-01151

1 vaccination 1 coded response 12 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
100 / NY
Registered
2022-07-16
Relationship
Child or adolescent in my care
Guardian
EY2-17407-68099
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-16
    Registered in v-safe
  2. 2022-07-16
    Dose 1 — Moderna
  3. 2022-07-16
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-22
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-23
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-30
    Survey response — day 14, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with Covid 19 infection
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-30
    Report sent to call center — day 14, dose 1, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-08-01
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  13. 2022-08-06
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-15
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-20
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-27
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-07-30

Symptoms: Diagnosed with Covid 19 infection

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
SDCOVID-19 · · ✓

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

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