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VQF-13091-72325

3 vaccinations 5 coded responses 34 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
5T8-19595-54995
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-26
    Registered in v-safe
  3. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-04
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Site: Redness, Swelling/hardness · None
    Under 3 check-in
  9. 2022-07-09
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-23
    Dose 2 — Moderna
  12. 2022-07-23
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  14. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  16. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-07-30
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-06
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-13
    Survey response — day 21, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-20
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-27
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-03
    Survey response — day 42, dose 2, under 3
    MedDRA: Pyrexia, Rash, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Fever, runny nose, rash
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-22
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-12-31
    Dose 3 — Moderna
  27. 2022-12-31
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2023-01-01
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  29. 2023-01-02
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-01-03
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-01-04
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-01-05
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-01-07
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  34. 2023-01-14
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-01-28
    Survey response — day 28, dose 3, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11
  36. 2023-02-04
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2023-02-11
    Survey response — day 42, dose 3, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    MedDRA releases: 2024-11
  38. 2023-04-01
    Survey response — 3 months, dose 3, under 3
    MedDRA: Nasopharyngitis — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No
32022-12-31Moderna No

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-13

Symptoms: Runny nose

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-03

Symptoms: Fever, runny nose, rash

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
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRhinorrhoea · · ✓

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

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