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TF6-73099-93576

2 vaccinations 1 coded response 4 check-ins 0 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
973 / OR
Registered
2022-10-15
Relationship
Child or adolescent in my care
Guardian
D22-39889-19814
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-10-06
    Dose 1 — Moderna
    Co-administered: Flu:Hepatitis B:Pneumonia:Polio:Tetanus
  2. 2022-10-15
    Registered in v-safe
  3. 2022-10-15
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-11-10
    Dose 2 — Moderna
  5. 2022-11-17
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-12-22
    Health check-in — day 42, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  7. 2023-02-09
    Survey response — 3 months, dose 2, under 3
    MedDRA: Benign enlargement of the subarachnoid spaces, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  8. 2023-02-09
    Report sent to call center — 3 months, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  9. 2023-02-10

Vaccinations

DoseDateManufacturerCo-administered
12022-10-06Moderna Flu:Hepatitis B:Pneumonia:Polio:Tetanus
22022-11-10Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

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
SDBenign enlargement of the subarachnoid spaces · · ✓
SDNasopharyngitis · · ✓

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