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P4C-29103-65566

2 vaccinations 4 coded responses 28 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
100 / NY
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
ZVJ-13156-28568
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Registered in v-safe
  2. 2022-06-27
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Polio:Tetanus
  3. 2022-06-27
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-28
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Frequent bowel movements — Feeling: Fair · Site: Redness · Irritability/crying
    Free text: Pooping extra
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Fever · Irritability/crying
    Under 3 check-in
  6. 2022-06-30
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Insomnia, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling/hardness · Fever · Irritability/crying
    Free text: Very hard time sleeping, congested
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Site: Pain, Swelling/hardness · Fever · Irritability/crying
    Under 3 check-in
  8. 2022-07-02
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Nasopharyngitis, Office visit — Feeling: Fair · Site: Swelling/hardness · Irritability/crying
    Free text: Took (b)(6) to pediatrician yesterday, he has a cold so is definitely off
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-04
    Survey response — day 7, dose 1, under 3
    MedDRA: Lacrimation increased — Feeling: Fair · Irritability/crying
    Free text: Runny eye
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-11
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-18
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-25
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-01
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-08
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-15
    Dose 2 — Moderna
  17. 2022-08-15
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-16
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-18
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-08-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2022-08-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  24. 2022-08-22
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2022-08-29
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-09-05
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-09-12
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-09-19
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  29. 2022-09-26
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  30. 2022-11-14
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-02-13
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna Hepatitis B:Polio:Tetanus
22022-08-15Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-28

Systemic reaction (other): Pooping extra

2022-06-30

Systemic reaction (other): Very hard time sleeping, congested

2022-07-02

Systemic reaction (other): Took (b)(6) to pediatrician yesterday, he has a cold so is definitely off
redacted (b)(6)

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-04

Systemic reaction (other): Runny eye

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
SROFrequent bowel movements · · ✓
SROInsomnia · · ✓
SROLacrimation increased · · ✓
SRONasopharyngitis · · ✓
SROOffice visit · · ✓
SRORespiratory tract congestion · · ✓

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

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