3KN-29635-31792

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 0-4
ZIP prefix: 800 / CO
Registered: 2022-06-30

Relationship: Child or adolescent in my care
Guardian: 8XK-12386-53093
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-30
Registered in v-safe
2022-06-30
Dose 1 — Moderna
2022-06-30
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-03
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-04
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-05
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-07
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-21
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-28
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-04
Survey response — day 35, dose 1, dependent
MedDRA: Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Threw up 4 times (2x on Mon and 2x today/Thursday)

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — day 42, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-20
Dose 2 — Moderna
2022-08-20
Survey response — day 0, dose 2, dependent
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain

Free text: Report of stiff arm

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-08-22
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Irritability — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Irritability

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-25
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-26
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-27
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-09-03
Survey response — day 14, dose 2, dependent
MedDRA: Diarrhoea, Lethargy, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Got sick with low garde fever, up to 101. Diarrhea and lethargy for 24 hrs. Rapid covid test was negative

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-17
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-24
Survey response — day 35, dose 2, dependent
MedDRA: Cough, Lethargy, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose, cough, lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-11-19
Survey response — 3 months, dose 2, dependent
MedDRA: Cough, Nasopharyngitis, Pyrexia — 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

Free text: Colds, cough, fever.

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 3 months, dose 2, 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)
2022-11-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-18
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-30	Moderna	No
2	2022-08-20	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 35, dose 1, dependent

2022-08-04

Symptoms: Threw up 4 times (2x on Mon and 2x today/Thursday)

Release 12 — day 0, dose 2, dependent

2022-08-20

Systemic reaction (other): Report of stiff arm

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-22

Systemic reaction (other): Irritability

Release 12 — day 14, dose 2, dependent

2022-09-03

Symptoms: Got sick with low garde fever, up to 101. Diarrhea and lethargy for 24 hrs. Rapid covid test was negative

Release 12 — day 35, dose 2, dependent

2022-09-24

Symptoms: Runny nose, cough, lethargy

Release 12 — 3 months, dose 2, dependent

2022-11-19

Symptoms: Colds, cough, fever.

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

Field	Preferred term	2021-09	2023-04	2024-11
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Lethargy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	·	·	✓
SRO	Irritability	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓

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