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X2W-12137-47183

3 vaccinations 7 coded responses 31 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
981 / WA
Registered
2022-08-31
Relationship
Child or adolescent in my care
Guardian
M9D-86773-31472
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-31
    Registered in v-safe
  2. 2022-08-31
    Dose 1 — Moderna
  3. 2022-08-31
    Health check-in — day 0, dose 1, under 3
    Feeling: Poor · Sleepiness, Vomiting
    Under 3 check-in
  4. 2022-09-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  5. 2022-09-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  6. 2022-09-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  7. 2022-09-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Loss of appetite
    Under 3 check-in
  8. 2022-09-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-09-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-09-14
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-21
    Survey response — day 21, dose 1, under 3
    MedDRA: Vomiting — Feeling: Good · Be unable to work or attend school
    Free text: Vomiting once, no clear cause
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-09-28
    Dose 2 — Moderna
  13. 2022-09-28
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-09-29
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Respiratory tract congestion, Sneezing — Feeling: Fair
    Free text: Congestion and sneezing, possibly due to another daycare bug
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-09-30
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Respiratory tract congestion, Viral infection — Feeling: Fair
    Free text: Congestion from another daycare bug
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-10-01
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Irritability/crying
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-02
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Irritability/crying, Vomiting
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-10-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-10-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-10-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-10-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-19
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-10-26
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-11-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-11-09
    Survey response — day 42, dose 2, under 3
    MedDRA: Respiratory tract congestion — Feeling: Fair
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-12-21
    Dose 3 — Moderna
  27. 2022-12-28
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-12-28
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2023-01-04
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-01-11
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-01-18
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2023-01-25
    Survey response — day 35, dose 3, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11
  33. 2023-02-01
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-03-22
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-06-21
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-31Moderna No
22022-09-28Moderna No
32022-12-21Moderna No

Free text

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

2022-09-21

Symptoms: Vomiting once, no clear cause

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-09-29

Systemic reaction (other): Congestion and sneezing, possibly due to another daycare bug

2022-09-30

Systemic reaction (other): Congestion from another daycare bug

2022-10-01

Systemic reaction (other): Congestion

2022-10-02

Systemic reaction (other): Congestion

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

2022-11-09

Symptoms: Congestion

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 · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDVomiting · · ✓
SRORespiratory tract congestion · · ✓
SROSneezing · · ✓
SROViral infection · · ✓

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

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