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Z74-31873-72002

3 vaccinations 3 coded responses 34 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
532 / WI
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
5QL-19617-68275
Race
White
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, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying, Diarrhea
    Under 3 check-in
  7. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-11
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-23
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-27
    Dose 2 — Moderna
  13. 2022-07-27
    Health check-in — day 0, dose 2, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  14. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-29
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness · Irritability/crying, Loss of appetite
    Free text: Area around the injection site is hot to the touch
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-03
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-10
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-17
    Survey response — day 21, dose 2, under 3
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good
    Free text: She's developed some reflux that she didn't have before
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-24
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-01
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-10-26
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2023-01-25
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-02-04
    Dose 3 — Moderna
  28. 2023-02-06
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  29. 2023-02-07
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-02-08
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-02-09
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-02-11
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-02-18
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-02-27
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-03-06
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-03-11
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2023-03-18
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-05-07
    Survey response — 3 months, dose 3, under 3
    MedDRA: Cough, Rhinorrhoea, Sleep disorder, Throat irritation, Viral infection — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-27Moderna No
32023-02-04Moderna No

Free text

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

2022-07-29

Systemic reaction (other): Area around the injection site is hot to the touch

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-17

Symptoms: She's developed some reflux that she didn't have before

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 · · ✓
SDGastrooesophageal reflux disease · · ✓
SDRhinorrhoea · · ✓
SDSleep disorder · · ✓
SDThroat irritation · · ✓
SDViral infection · · ✓
SROInjection site warmth · · ✓

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

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