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4UM-78264-70204

3 vaccinations 1 coded response 11 check-ins 0 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2023-04-09
Relationship
Child or adolescent in my care
Guardian
CYR-41533-53538
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-12-30
    Dose 1 — Moderna
  2. 2023-01-30
    Dose 2 — Moderna
  3. 2023-04-07
    Dose 3 — Moderna
  4. 2023-04-09
    Registered in v-safe
  5. 2023-04-09
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2023-04-10
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2023-04-11
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2023-04-12
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2023-04-13
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Vomiting · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Under 3 check-in
  10. 2023-04-13
    Report sent to call center — days 1–6 daily, dose 3, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2023-04-14
    Health check-in — day 7, dose 3, under 3
    Feeling: Fair · Loss of appetite
    Under 3 check-in
  12. 2023-04-14
  13. 2023-04-21
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-04-28
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  15. 2023-05-05
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-05-12
    Survey response — day 35, dose 3, under 3
    MedDRA: Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  17. 2023-05-12
    Report sent to call center — day 35, dose 3, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2023-05-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2023-05-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2023-05-19
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-12-30Moderna No
22023-01-30Moderna No
32023-04-07Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

None.

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
SDEar infection · · ✓

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

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