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64E-27584-14048

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
956 / CA
Registered
2022-11-10
Relationship
Child or adolescent in my care
Guardian
ZWM-56589-92298
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-22
    Dose 1 — Moderna
  2. 2022-09-20
    Dose 2 — Moderna
    Co-administered: Flu
  3. 2022-11-10
    Registered in v-safe
  4. 2022-12-20
    Survey response — 3 months, dose 2, under 3
    MedDRA: Cough, Dehydration, Respiratory tract congestion — Feeling: Poor · 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
    Free text: Cough, congestion, dehydration
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-12-20
    Report sent to call center — 3 months, dose 2, under 3
    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 · 1 call case(s)
  6. 2022-12-21
  7. 2023-03-22
    Health check-in — 6 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-22Moderna No
22022-09-20Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-12-20

Symptoms: Cough, congestion, dehydration

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 · · ✓
SDDehydration · · ✓
SDRespiratory tract congestion · · ✓

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