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QBD-18854-47392

2 vaccinations 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
139 / NY
Registered
2022-10-01
Relationship
Child or adolescent in my care
Guardian
WTH-30564-95643
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-26
    Dose 1 — Moderna
  2. 2022-09-23
    Dose 2 — Moderna
  3. 2022-10-01
    Registered in v-safe
  4. 2022-10-01
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-10-07
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-10-16
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-10-21
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-10-28
    Survey response — day 35, dose 2, under 3
    MedDRA: Cough, Decreased appetite, Irritability, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Loss of appetite Cough Congestion Runny nose Irritability
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-04
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-12-23
    Survey response — 3 months, dose 2, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Cough, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  11. 2023-03-26
    Health check-in — 6 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-26Moderna No
22022-09-23Moderna No

Free text

Release 12 (Under 3) — day 35, dose 2, under 3

2022-10-28

Symptoms: Loss of appetite Cough Congestion Runny nose Irritability

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-12-23

Symptoms: Cough, runny nose

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
SDCough · · ✓
SDDecreased appetite · · ✓
SDIrritability · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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