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Y3U-22849-09156

2 vaccinations 1 coded response 19 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
190 / PA
Registered
2022-12-18
Relationship
Child or adolescent in my care
Guardian
3FN-30985-06428
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-12-15
    Dose 1 — Moderna
    Co-administered: Hepatitis B
  2. 2022-12-18
    Registered in v-safe
  3. 2022-12-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-12-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-12-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Poor · Sleepiness, Irritability/crying
    Under 3 check-in
  6. 2022-12-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  7. 2022-12-22
    Survey response — day 7, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-12-29
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2023-01-05
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2023-01-12
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2023-01-16
    Dose 2 — Moderna
  12. 2023-01-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2023-01-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2023-01-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2023-01-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2023-01-23
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2023-01-30
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-02-06
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2023-02-13
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2023-02-22
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2023-02-27
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2023-04-17
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-12-15Moderna Hepatitis B
22023-01-16Moderna No

Free text

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

2022-12-22

Systemic reaction (other): Runny nose

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
SRORhinorrhoea · · ✓

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

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