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UNA-67889-16070

1 vaccination 1 coded response 14 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
750 / TX
Registered
2022-10-07
Relationship
Child or adolescent in my care
Guardian
HNC-23125-73018
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-07
    Registered in v-safe
  2. 2022-10-12
    Dose 1 — Moderna
  3. 2022-10-12
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-10-13
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-10-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-10-16
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-10-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-10-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-10-19
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-10-26
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-11-03
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-11-09
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-11-17
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-11-23
    Survey response — day 42, dose 1, under 3
    MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Cough, congestion, low fever.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2023-01-11
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-04-13
    Health check-in — 6 months, dose 1, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-12Moderna No

Free text

Release 12 (Under 3) — day 42, dose 1, under 3

2022-11-23

Symptoms: Cough, congestion, low fever.

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 · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓

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

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