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U4X-18490-49528

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
226 / VA
Registered
2022-11-02
Relationship
Child or adolescent in my care
Guardian
M89-29709-89153
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-19
    Dose 1 — Moderna
  2. 2022-11-02
    Registered in v-safe
  3. 2022-11-02
    Dose 2 — Moderna
    Co-administered: Flu
  4. 2022-11-02
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2022-11-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  6. 2022-11-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2022-11-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-11-16
    Survey response — day 14, dose 2, dependent
    MedDRA: Influenza like illness, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Flu/Covid like symptoms
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-23
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2023-02-01

Vaccinations

DoseDateManufacturerCo-administered
12022-10-19Moderna No
22022-11-02Moderna Flu

Free text

Release 12 — day 14, dose 2, dependent

2022-11-16

Symptoms: Flu/Covid like symptoms

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 like illness · · ✓
SDMalaise · · ✓

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