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RQN-16465-59329

1 vaccination 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
836 / ID
Registered
2022-08-05
Relationship
Child or adolescent in my care
Guardian
3DV-27780-69226
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-04
    Dose 1 — Moderna
  2. 2022-08-05
    Registered in v-safe
  3. 2022-08-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · Irritability/crying
    Under 3 check-in
  4. 2022-08-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-08-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  6. 2022-08-09
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Headache — Feeling: Good
    Free text: Headache
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-08-15
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-20
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-08-25
    Survey response — day 21, dose 1, under 3
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  10. 2023-02-02
    Health check-in — 6 months, dose 1, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-04Moderna No

Free text

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

2022-08-09

Systemic reaction (other): Headache

Release 12 (Under 3) — day 21, dose 1, under 3

2022-08-25

Symptoms: Stuffy 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
SDNasal congestion · · ✓
SROHeadache · · ✓

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