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QHF-21038-16087

2 vaccinations 2 coded responses 10 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
559 / MN
Registered
2023-01-03
Relationship
Child or adolescent in my care
Guardian
BYR-81888-84019
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-11-23
    Dose 1 — Moderna
    Co-administered: Flu
  2. 2022-12-30
    Dose 2 — Moderna
    Co-administered: Flu
  3. 2023-01-03
    Registered in v-safe
  4. 2023-01-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  5. 2023-01-05
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2023-01-06
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2023-01-13
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2023-01-20
    Survey response — day 21, dose 2, under 3
    MedDRA: Otitis media acute, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11
  9. 2023-01-27
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2023-02-03
    Survey response — day 35, dose 2, under 3
    MedDRA: Otitis media acute — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11
  11. 2023-02-10
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2023-03-31
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2023-06-30
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-11-23Moderna Flu
22022-12-30Moderna Flu

Free text

None.

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
SDOtitis media acute · · ✓
SDUpper respiratory tract infection · · ✓

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