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QJW-16747-62758

3 vaccinations 1 coded response 33 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
336 / FL
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
YND-33456-28122
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-29
    Registered in v-safe
  2. 2022-06-29
    Dose 1 — Moderna
  3. 2022-06-29
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-06
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-15
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-23
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-27
    Dose 2 — Moderna
  14. 2022-07-27
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  16. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-08-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-08-10
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-08-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-08-31
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-07
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-10-28
    Survey response — 3 months, dose 2, dependent
    MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Influenza A diagnosed this week
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-10-28
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-11-01
  30. 2022-12-29
    Dose 3 — Moderna
    Co-administered: Flu
  31. 2022-12-31
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2023-01-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2023-01-05
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  34. 2023-01-12
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  35. 2023-01-21
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2023-01-26
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2023-02-04
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2023-04-01
  39. 2023-06-29

Vaccinations

DoseDateManufacturerCo-administered
12022-06-29Moderna No
22022-07-27Moderna No
32022-12-29Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-10-28 Unsuccessful

Free text

Release 12 — 3 months, dose 2, dependent

2022-10-28

Symptoms: Influenza A diagnosed this week

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
SDInfluenza · · ✓

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

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