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6SK-17295-07208

3 vaccinations 8 coded responses 35 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
660 / KS
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
NPE-16463-12734
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Registered in v-safe
  2. 2022-06-23
    Dose 1 — Moderna
  3. 2022-06-23
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Abdominal pain
    Adult check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2022-07-01
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-08
    Survey response — day 14, dose 1, dependent
    MedDRA: Abdominal pain upper, Nasal congestion, Productive cough, Respiratory tract congestion — Feeling: Fair
    Free text: Nasal and chest congestion. Productive cough. Occasionally stomach pain.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-14
    Survey response — day 21, dose 1, dependent
    MedDRA: Nasal congestion, Productive cough, Rhinorrhoea — Feeling: Fair
    Free text: Worsening productive cough, runny and congested nose.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-21
    Dose 2 — Moderna
  13. 2022-07-21
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  15. 2022-07-23
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness
    Free text: Decreased appetite, but she doesn't complain of any particular stomach troubles
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fever · Headache, Abdominal pain
    Adult check-in
  19. 2022-07-27
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Abdominal rigidity, Decreased appetite — Feeling: Good
    Free text: Reports no symptoms, but had no appetite for dinner and was guarding her stomach
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-07-30
    Survey response — day 7, dose 2, dependent
    MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Her appetite continues to be quite decreased- she is skipping entire meals
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-07-30
    Report sent to call center — day 7, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2022-08-01
  23. 2022-08-04
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-11
    Health check-in — day 21, dose 2, dependent
    Feeling: Fair
    Adult check-in
  25. 2022-08-20
    Survey response — day 28, dose 2, dependent
    MedDRA: Fatigue, Nasopharyngitis — Feeling: Good
    Free text: She's had a cough the last couple of days and been very tired
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-08-25
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-09-02
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  28. 2022-10-20
    Survey response — 3 months, dose 2, dependent
    MedDRA: Nausea — Feeling: Good
    Free text: Nausea
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-14
    Dose 3 — Pfizer-BioNTech
  30. 2022-11-17
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2022-11-18
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fever · None
    Adult check-in
  32. 2022-11-19
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2022-11-20
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fever · None
    Adult check-in
  34. 2022-11-21
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  35. 2022-11-28
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2022-12-05
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2022-12-14
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2022-12-19
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  39. 2022-12-26
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  40. 2023-02-14
    Survey response — 3 months, dose 3, dependent
    MedDRA: Abdominal pain upper, Flatulence — Feeling: Good
    MedDRA releases: 2024-11
  41. 2023-05-17

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-21Moderna No
32022-11-14Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — day 14, dose 1, dependent

2022-07-08

Symptoms: Nasal and chest congestion. Productive cough. Occasionally stomach pain.

Release 12 — day 21, dose 1, dependent

2022-07-14

Symptoms: Worsening productive cough, runny and congested nose.

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

2022-07-23

Systemic reaction (other): Decreased appetite, but she doesn't complain of any particular stomach troubles

2022-07-27

Systemic reaction (other): Reports no symptoms, but had no appetite for dinner and was guarding her stomach

Release 12 — day 7, dose 2, dependent

2022-07-30

Systemic reaction (other): Her appetite continues to be quite decreased- she is skipping entire meals

Release 12 — day 28, dose 2, dependent

2022-08-20

Symptoms: She's had a cough the last couple of days and been very tired

Release 12 — 3 months, dose 2, dependent

2022-10-20

Symptoms: Nausea

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
SDAbdominal pain upper · · ✓
SDFatigue · · ✓
SDFlatulence · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDProductive cough · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROAbdominal rigidity · · ✓
SRODecreased appetite · · ✓

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