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SJ5-16021-82848

2 vaccinations 6 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
100 / NY
Registered
2022-10-22
Relationship
Child or adolescent in my care
Guardian
WV2-17986-12884
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-07
    Dose 1 — Moderna
  2. 2022-10-22
    Registered in v-safe
  3. 2022-10-22
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-10-30
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-11-04
    Survey response — day 28, dose 1, under 3
    MedDRA: Viral infection — Feeling: Poor
    Free text: Viral infection
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-11-11
    Survey response — day 35, dose 1, under 3
    MedDRA: Viral infection — Feeling: Fair
    Free text: Continued viral infection
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-11-18
    Dose 2 — Moderna
  8. 2022-11-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  9. 2022-11-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-11-25
    Survey response — day 7, dose 2, under 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-12-02
    Survey response — day 14, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Fair
    Free text: COVID infection
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-12-09
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-12-16
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-12-23
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-12-30
    Survey response — day 42, dose 2, under 3
    MedDRA: Body height decreased — Feeling: Good
    Free text: Significant drop on height growth chart at routine checkup from 6 to 9 months.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2023-02-17
    Survey response — 3 months, dose 2, under 3
    MedDRA: Respiratory tract infection — Feeling: Good
    MedDRA releases: 2024-11
  17. 2023-05-21
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-07Moderna No
22022-11-18Moderna No

Free text

Release 12 (Under 3) — day 28, dose 1, under 3

2022-11-04

Symptoms: Viral infection

Release 12 (Under 3) — day 35, dose 1, under 3

2022-11-11

Symptoms: Continued viral infection

Release 12 (Under 3) — day 7, dose 2, under 3

2022-11-25

Systemic reaction (other): No

Release 12 (Under 3) — day 14, dose 2, under 3

2022-12-02

Symptoms: COVID infection

Release 12 (Under 3) — day 42, dose 2, under 3

2022-12-30

Symptoms: Significant drop on height growth chart at routine checkup from 6 to 9 months.

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
SDBody height decreased · · ✓
SDCOVID-19 · · ✓
SDRespiratory tract infection · · ✓
SDViral infection · · ✓
SRONo adverse event · · ✓

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