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UH9-15193-59180

1 vaccination 2 coded responses 10 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
787 / TX
Registered
2023-05-15
Relationship
Child or adolescent in my care
Guardian
KB8-19934-25342
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2023-05-15
    Registered in v-safe
  2. 2023-05-15
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus
  3. 2023-05-15
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Site: Pain · Irritability/crying, Diarrhea
    Under 3 check-in
  4. 2023-05-16
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Crying, Discomfort, Feeling hot, Hypersomnia, Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling/hardness · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  5. 2023-05-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Swelling/hardness · Sleepiness, Vomiting
    Under 3 check-in
  6. 2023-05-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2023-05-20
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Insomnia — Feeling: Fair · Fever · Irritability/crying
    MedDRA releases: 2024-11
  8. 2023-05-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying · Be unable to do your normal daily activities
    Under 3 check-in
  9. 2023-05-22
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2023-05-29
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2023-06-05
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2023-06-12
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12023-05-15Moderna Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus

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
SROCrying · · ✓
SRODiscomfort · · ✓
SROFeeling hot · · ✓
SROHypersomnia · · ✓
SROInsomnia · · ✓

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