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5YF-18764-10582

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
762 / TX
Registered
2022-08-26
Relationship
Child or adolescent in my care
Guardian
6DG-16427-51864
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-25
    Dose 1 — Moderna
  2. 2022-08-26
    Registered in v-safe
  3. 2022-08-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-08-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-09-01
    Survey response — day 7, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-09-10
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-09-22
    Dose 2 — Moderna
  8. 2022-09-25
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Fatigue, Pyrexia, Vomiting — Feeling: Fair · Fatigue or tiredness, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, fatigue, and vomiting the day after her vaccine. Fatigue on day 1, all clear by day 3.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-09-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2022-09-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-10-07
    Survey response — day 14, dose 2, dependent
    MedDRA: Cough, Fatigue, Pyrexia, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough, runny nose, fatigue, fever and vomiting tone day
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-10-13
    Survey response — day 21, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-22
    Survey response — day 28, dose 2, dependent
    MedDRA: Cough, Nasal congestion, Wheezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough for approx 2-3 weeks, nasal congestion, wheezing
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-10-27
    Survey response — day 35, dose 2, dependent
    MedDRA: Ear infection, Pyrexia, Respiratory tract congestion, Vomiting — Feeling: Fair · 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
    Free text: Noticed vomiting approx every 2 wks. Fever & vomiting 9/23 (prob just usual side effects) Vomited 1X 10/10 Congestion late Sep-early Oct Ear infection diagnosed 10/23 Vomited 1X 10/27
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-10-27
    Report sent to call center — day 35, 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-10-28
  17. 2022-11-04
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-11-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12022-08-25Moderna No
22022-09-22Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 7, dose 1, dependent

2022-09-01

Systemic reaction (other): Runny nose

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

2022-09-25

Systemic reaction (other): Fever, fatigue, and vomiting the day after her vaccine. Fatigue on day 1, all clear by day 3.

Release 12 — day 14, dose 2, dependent

2022-10-07

Symptoms: Cough, runny nose, fatigue, fever and vomiting tone day

Release 12 — day 21, dose 2, dependent

2022-10-13

Symptoms: Sore throat

Release 12 — day 28, dose 2, dependent

2022-10-22

Symptoms: Cough for approx 2-3 weeks, nasal congestion, wheezing

Release 12 — day 35, dose 2, dependent

2022-10-27

Symptoms: Noticed vomiting approx every 2 wks. Fever & vomiting 9/23 (prob just usual side effects) Vomited 1X 10/10 Congestion late Sep-early Oct Ear infection diagnosed 10/23 Vomited 1X 10/27

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
SDCough · · ✓
SDEar infection · · ✓
SDFatigue · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDVomiting · · ✓
SDWheezing · · ✓
SROFatigue · · ✓
SROPyrexia · · ✓
SRORhinorrhoea · · ✓
SROVomiting · · ✓

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