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WAS-28968-06445

3 vaccinations 7 coded responses 31 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
242 / VA
Registered
2022-10-23
Relationship
Child or adolescent in my care
Guardian
V67-21641-99281
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-18
    Dose 1 — Moderna
    Co-administered: Flu
  2. 2022-10-23
    Registered in v-safe
  3. 2022-10-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-10-25
    Survey response — day 7, dose 1, under 3
    MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school
    Free text: Flu B positive
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-11-01
    Survey response — day 14, dose 1, under 3
    MedDRA: Influenza, Pneumonia — Feeling: Fair · Be unable to work or attend school
    Free text: Influenza, flu-related PNA
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-11-08
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-11-17
    Survey response — day 28, dose 1, under 3
    MedDRA: Rhinovirus infection, Wheezing — Feeling: Fair
    Free text: Rhinovirus, wheezing (which is why unable to get second vaccine)
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-11-22
    Dose 2 — Moderna
    Co-administered: Flu
  9. 2022-11-22
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None · Be unable to work or attend school
    Under 3 check-in
  10. 2022-11-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  11. 2022-11-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-11-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-11-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-11-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-11-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-11-29
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-12-06
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-12-13
    Survey response — day 21, dose 2, under 3
    MedDRA: Exposure to SARS-CoV-2, Nasal congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school
    Free text: Nasal congestion, tested Covid negative but has exposure
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-12-20
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-12-27
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2023-01-03
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2023-01-24
    Dose 3 — Moderna
  23. 2023-01-25
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  24. 2023-01-26
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Irritability/crying
    MedDRA releases: 2024-11
  25. 2023-01-27
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Irritability/crying · Be unable to work or attend school
    MedDRA releases: 2024-11
  26. 2023-01-28
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Ear infection — Feeling: Fair · Irritability/crying · Be unable to work or attend school
    MedDRA releases: 2024-11
  27. 2023-01-29
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2023-01-30
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2023-01-31
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-02-09
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-02-14
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2023-02-21
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-02-28
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-03-07
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-04-25
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-18Moderna Flu
22022-11-22Moderna Flu
32023-01-24Moderna No

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-10-25

Systemic reaction (other): Flu B positive

Release 12 (Under 3) — day 14, dose 1, under 3

2022-11-01

Symptoms: Influenza, flu-related PNA

Release 12 (Under 3) — day 28, dose 1, under 3

2022-11-17

Symptoms: Rhinovirus, wheezing (which is why unable to get second vaccine)

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

2022-12-13

Symptoms: Nasal congestion, tested Covid negative but has exposure

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
SDExposure to SARS-CoV-2 · · ✓
SDInfluenza · · ✓
SDNasal congestion · · ✓
SDPneumonia · · ✓
SDRhinovirus infection · · ✓
SDSARS-CoV-2 test negative · · ✓
SDWheezing · · ✓
SROCough · · ✓
SROEar infection · · ✓
SROInfluenza · · ✓
SRORespiratory tract congestion · · ✓

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