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57R-31250-50376

2 vaccinations 1 coded response 13 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
430 / OH
Registered
2022-12-12
Relationship
Child or adolescent in my care
Guardian
PYP-14620-95522
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-11-29
    Dose 1 — Moderna
  2. 2022-12-12
    Registered in v-safe
  3. 2022-12-13
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-12-20
    Survey response — day 21, dose 1, under 3
    MedDRA: Ear infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Ear infection · Healthcare visit (other): PCP sick appointment with pediatrician
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-12-20
    Report sent to call center — day 21, dose 1, under 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2022-12-21
    Call successful
    Participant prefers to complete VAERS report online
  7. 2022-12-27
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-12-29
    Dose 2 — Moderna
  9. 2023-01-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2023-01-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2023-01-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2023-01-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2023-01-21
    Health check-in — day 21, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  14. 2023-01-26
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2023-02-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-02-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2023-03-30
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-06-29
    Health check-in — 6 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-11-29Moderna No
22022-12-29Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-12-20

Symptoms: Ear infection
Healthcare visit (other): PCP sick appointment with pediatrician

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
HCVOOffice visit · · ✓
SDEar infection · · ✓

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

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