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5FB-33213-95926

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
787 / TX
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
HR6-31469-32055
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-07-19
    Dose 1 — Moderna
  3. 2022-07-19
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-07-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  5. 2022-07-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-22
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-26
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-02
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-09
    Survey response — day 21, dose 1, under 3
    MedDRA: Pyrexia — Feeling: Good
    Free text: He had a temperature of 100.9 deg F yesterday. Today, his temperature is 98.7 deg F.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-16
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-17
    Dose 2 — Moderna
  15. 2022-08-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-24
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-31
    Survey response — day 14, dose 2, under 3
    MedDRA: Nasal congestion — Feeling: Good · Be unable to work or attend school
    Free text: Nasal congestion
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-09-07
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-09-16
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-21
    Survey response — day 35, dose 2, under 3
    MedDRA: Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school
    Free text: Fever, vomiting
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-09-28
    Survey response — day 42, dose 2, under 3
    MedDRA: Pneumonia — 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
    Free text: Pneumonia
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-09-28
    Report sent to call center — day 42, dose 2, 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)
  26. 2022-09-29
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2023-02-15
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-19Moderna No
22022-08-17Moderna 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

2022-08-09

Symptoms: He had a temperature of 100.9 deg F yesterday. Today, his temperature is 98.7 deg F.

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

2022-08-31

Symptoms: Nasal congestion

Release 12 (Under 3) — day 35, dose 2, under 3

2022-09-21

Symptoms: Fever, vomiting

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-28

Symptoms: Pneumonia

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
SDNasal congestion · · ✓
SDPneumonia · · ✓
SDPyrexia · · ✓
SDVomiting · · ✓

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

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