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PVA-66261-17706

1 vaccination 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
112 / NY
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
8QM-14929-90689
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-06-25
    Registered in v-safe
  3. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Poor · Site: Redness · Fever · Irritability/crying, Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  4. 2022-06-26
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Decreased activity — Feeling: Fair · Site: Redness · Fever
    Free text: Less active
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Site: Redness, Swelling/hardness · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  7. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-15
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2023-06-26
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Free text

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

2022-06-26

Systemic reaction (other): Less active

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
SRODecreased activity · · ✓

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