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YZ6-14283-25958

2 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
—
Age at first dose
0-4
ZIP prefix
972 / OR
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
CFA-10487-19959
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-26
    Registered in v-safe
  3. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-09
    Survey response — day 14, dose 1, dependent
    MedDRA: Irritability, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Runny nose and irritability
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-16
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-23
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-30
    Survey response — day 35, dose 1, dependent
    MedDRA: Lethargy, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Lethargic and threw up today
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-08-06
    Dose 2 — Moderna
  11. 2022-08-06
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  13. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  14. 2022-08-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  15. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Redness · None
    Adult check-in
  17. 2022-08-13
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-08-20
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-08-27
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-09-03
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-09-10
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-09-19
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-11-05
    Survey response — 3 months, dose 2, dependent
    MedDRA: Rash — Feeling: Good
    Free text: Rash
    MedDRA releases: 2024-11 · check-in free text available
  24. 2023-02-06

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-08-06Moderna No

Free text

Release 12 — day 14, dose 1, dependent

2022-07-09

Symptoms: Runny nose and irritability

Release 12 — day 35, dose 1, dependent

2022-07-30

Symptoms: Lethargic and threw up today

Release 12 — 3 months, dose 2, dependent

2022-11-05

Symptoms: Rash

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
SDIrritability · · ✓
SDLethargy · · ✓
SDRash · · ✓
SDRhinorrhoea · · ✓
SDVomiting · · ✓

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