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XHB-16537-51424

2 vaccinations 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
537 / WI
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
QWB-13562-84603
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-27
    Registered in v-safe
  3. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-10
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-18
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-23
    Survey response — day 28, dose 1, dependent
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school
    Free text: Covid infection
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-30
    Dose 2 — Moderna
  12. 2022-08-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-30Moderna No

Free text

Release 12 — day 28, dose 1, dependent

2022-07-23

Symptoms: Covid infection

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