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W3C-68742-00959

1 vaccination 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
787 / TX
Registered
2022-07-24
Relationship
Child or adolescent in my care
Guardian
9QM-16577-58244
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-08
    Dose 1 — Moderna
    Co-administered: Hib:Tetanus
  2. 2022-07-24
    Registered in v-safe
  3. 2022-07-29
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-08-07
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-08-14
    Survey response — day 35, dose 1, under 3
    MedDRA: Asthenia, Cough, Pyrexia — Feeling: Good
    Free text: Low grade fever for 1 day, slight cough, low energy
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-08-21
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-10-09
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-08Moderna Hib:Tetanus

Free text

Release 12 (Under 3) — day 35, dose 1, under 3

2022-08-14

Symptoms: Low grade fever for 1 day, slight cough, low energy

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
SDAsthenia · · ✓
SDCough · · ✓
SDPyrexia · · ✓

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