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UFN-15625-09864

3 vaccinations 3 coded responses 19 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
926 / CA
Registered
2022-07-13
Relationship
Child or adolescent in my care
Guardian
J8X-11592-96014
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-08
    Dose 1 — Moderna
  2. 2022-07-13
    Registered in v-safe
  3. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  4. 2022-07-16
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-22
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2022-07-29
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-08-05
    Dose 2 — Moderna
  8. 2022-08-05
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2022-08-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · Muscle or body aches
    Adult check-in
  11. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-08-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-12
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-19
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-08-26
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-09-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-09-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-09-16
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-11-04
  20. 2022-12-17
    Dose 3 — Moderna
    Co-administered: Flu
  21. 2023-02-05
    Survey response — 6 months, dose 2, dependent
    MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11
  22. 2023-03-23
    Survey response — 3 months, dose 3, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  23. 2023-06-19
    Survey response — 6 months, dose 3, dependent
    MedDRA: Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-07-08Moderna No
22022-08-05Moderna No
32022-12-17Moderna Flu

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
SDCough · · ✓
SDFatigue · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SDVomiting · · ✓

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