65B-94847-06470
2 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 750 / TX
- Registered
- 2022-07-06
- Relationship
- Child or adolescent in my care
- Guardian
- R24-65447-09770
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-05
Dose 1 — Moderna
-
2022-07-06
Registered in v-safe
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
-
2022-08-03
Dose 2 — Moderna
- 2022-08-05
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
-
2022-08-10
Health check-in — day 7, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
- 2022-08-17
- 2022-08-24
- 2022-08-31
-
2022-09-09
Survey response — day 35, dose 2, under 3MedDRA: 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 visitFree text: Double ear infectionsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Report sent to call center — day 35, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-14
- 2022-11-02
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-05 | Moderna | No |
| 2 | 2022-08-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Double ear infections
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ear infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release