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24J-96538-19147

2 vaccinations 4 coded responses 14 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
190 / PA
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
KFJ-28676-73133
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-29
    Registered in v-safe
  2. 2022-10-11
    Dose 1 — Moderna
  3. 2022-11-08
    Dose 2 — Moderna
  4. 2022-11-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection site
    Under 3 check-in
  5. 2022-11-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Under 3 check-in
  6. 2022-11-11
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Loss of appetite, Rash, not including the immediate area around the injection site
    Under 3 check-in
  7. 2022-11-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Under 3 check-in
  8. 2022-11-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Rash, not including the immediate area around the injection site
    Under 3 check-in
  9. 2022-11-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Rash, not including the immediate area around the injection site
    Under 3 check-in
  10. 2022-11-15
    Health check-in — day 7, dose 2, under 3
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Under 3 check-in
  11. 2022-11-22
    Survey response — day 14, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Coughing, congested
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-11-29
    Health check-in — day 21, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  13. 2022-12-06
    Survey response — day 28, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stuffy, running nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-12-13
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-12-20
    Health check-in — day 42, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  16. 2023-02-07
    Survey response — 3 months, dose 2, under 3
    MedDRA: Bronchiolitis, Ear infection — 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
    MedDRA releases: 2024-11
  17. 2023-02-07
    Report sent to call center — 3 months, dose 2, under 3
    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)
  18. 2023-02-08
  19. 2023-05-09
    Survey response — 6 months, dose 2, under 3
    MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-10-11Moderna No
22022-11-08Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 2, under 3

2022-11-22

Symptoms: Coughing, congested

Release 12 (Under 3) — day 28, dose 2, under 3

2022-12-06

Symptoms: Stuffy, running nose, cough

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
SDBronchiolitis · · ✓
SDCough · · ✓
SDEar infection · · ✓
SDGastroenteritis viral · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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