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UMV-21236-96562

4 vaccinations 1 coded response 47 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
809 / CO
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
L7C-13850-63451
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Registered in v-safe
  2. 2022-06-25
    Dose 1 — Moderna
  3. 2022-06-25
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · None
    Under 3 check-in
  4. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · Sleepiness
    Under 3 check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-28
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Pre-existing disease, Secretion discharge, Vomiting — Feeling: Fair · Vomiting · Be unable to do your normal daily activities
    Free text: Seasonal allergies causing vomiting/mucus
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · None
    Under 3 check-in
  10. 2022-07-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-09
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-23
    Dose 2 — Moderna
  14. 2022-07-23
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-07-30
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-08-06
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-13
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-08-20
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-08-25
    Dose 3 — Moderna
  26. 2022-08-26
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2022-08-27
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2022-08-28
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2022-08-29
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2022-08-30
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2022-08-31
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2022-09-01
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2022-09-08
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2022-09-17
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2022-09-22
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2022-09-29
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2022-10-06
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2022-11-24
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2022-12-16
    Dose 4 — Moderna
  40. 2022-12-18
    Health check-in — days 1–6 daily, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  41. 2022-12-19
    Health check-in — days 1–6 daily, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  42. 2022-12-20
    Health check-in — days 1–6 daily, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  43. 2022-12-21
    Health check-in — days 1–6 daily, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  44. 2022-12-22
    Health check-in — days 1–6 daily, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  45. 2022-12-23
    Health check-in — day 7, dose 4, under 3
    Feeling: Good · None
    Under 3 check-in
  46. 2022-12-30
    Health check-in — day 14, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  47. 2023-01-06
    Health check-in — day 21, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  48. 2023-01-13
    Health check-in — day 28, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  49. 2023-01-20
    Health check-in — day 35, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  50. 2023-01-27
    Health check-in — day 42, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  51. 2023-03-17
    Health check-in — 3 months, dose 4, under 3
    Feeling: Good
    Under 3 check-in
  52. 2023-06-16
    Health check-in — 6 months, dose 4, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No
32022-08-25Moderna No
42022-12-16Moderna No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-28

Systemic reaction (other): Seasonal allergies causing vomiting/mucus

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
SROPre-existing disease · · ✓
SROSecretion discharge · · ✓
SROVomiting · · ✓

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

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