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SH9-95805-37520

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
660 / KS
Registered
2022-07-19
Relationship
Child or adolescent in my care
Guardian
EPN-14755-76931
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-07-19
    Registered in v-safe
  3. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  4. 2022-07-23
    Dose 2 — Moderna
  5. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  7. 2022-07-27
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Diarrhea
    Free text: Lack of appetite
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-30
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-08-08
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-27

Systemic reaction (other): Lack of appetite

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 appetite · · ✓

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