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YXV-12478-80660

1 vaccination 2 coded responses 4 check-ins 1 free-text entry 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
235 / VA
Registered
2022-07-30
Relationship
Child or adolescent in my care
Guardian
2RY-95415-36909
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-12
    Dose 1 — Moderna
  2. 2022-07-30
    Registered in v-safe
  3. 2022-07-30
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  4. 2022-08-02
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  5. 2022-10-11
    Survey response — 3 months, dose 1, dependent
    MedDRA: Respiratory tract infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Just a run of the mill childhood respiratory infection, Covid antigen tested negative
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-10-11
    Report sent to call center — 3 months, dose 1, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2022-10-12
  8. 2023-01-10
    Survey response — 6 months, dose 1, dependent
    MedDRA: Influenza virus test negative, Respiratory tract infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  9. 2023-01-10
    Report sent to call center — 6 months, dose 1, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2023-01-11
  11. 2023-01-11

Vaccinations

DoseDateManufacturerCo-administered
12022-07-12Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 12 — 3 months, dose 1, dependent

2022-10-11

Symptoms: Just a run of the mill childhood respiratory infection, Covid antigen tested negative

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
SDInfluenza virus test negative · · ✓
SDRespiratory tract infection · · ✓
SDSARS-CoV-2 test negative · · ✓

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

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