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VE5-20949-76963

1 vaccination 1 coded response 4 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
770 / TX
Registered
2022-06-24
Relationship
Child or adolescent in my care
Guardian
6J3-52298-01486
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Registered in v-safe
  2. 2022-06-24
    Dose 1 — Moderna
  3. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-07-17
    Survey response — day 21, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-22
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-17

Symptoms: Covid

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
SDCOVID-19 · · ✓

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

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