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984-22766-19434

2 vaccinations 1 coded response 14 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
606 / IL
Registered
2023-03-22
Relationship
Child or adolescent in my care
Guardian
N8X-20476-71031
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2023-02-28
    Dose 1 — Moderna
    Co-administered: Do not remember
  2. 2023-03-22
    Registered in v-safe
  3. 2023-03-22
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2023-03-29
    Dose 2 — Moderna
    Co-administered: Flu
  5. 2023-03-29
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Site: Swelling/hardness · Irritability/crying
    Under 3 check-in
  6. 2023-03-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain · Irritability/crying
    Under 3 check-in
  7. 2023-04-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  8. 2023-04-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  9. 2023-04-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  10. 2023-04-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  11. 2023-04-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2023-04-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2023-04-19
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-04-26
    Survey response — day 28, dose 2, under 3
    MedDRA: Hospitalisation, Intensive care, Rhinovirus infection — 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 · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  15. 2023-04-26
    Report sent to call center — day 28, 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
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  16. 2023-04-27
    Call successful
    Not applicable - Accidental Reporting
  17. 2023-05-03
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-05-10
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2023-06-28
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12023-02-28Moderna Do not remember
22023-03-29Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

None.

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
SDHospitalisation · · ✓
SDIntensive care · · ✓
SDRhinovirus infection · · ✓

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