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9QN-77758-80521

3 vaccinations 4 coded responses 20 check-ins 2 free-text entries 3 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
914 / CA
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
2UV-26017-98306
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-07
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-26
    Survey response — day 28, dose 1, under 3
    MedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend school
    Free text: Fever for 48 hours, maybe sore throat
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-28
    Dose 2 — Moderna
  13. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-04
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-08-11
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-08-18
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-25
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-09-01
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-08
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-10-27
    Survey response — 3 months, dose 2, under 3
    MedDRA: Respiratory syncytial virus 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 visit
    Free text: Rsv
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-27
    Report sent to call center — 3 months, dose 2, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-10-28
  24. 2023-01-09
    Dose 3 — Moderna
  25. 2023-01-26
    Survey response — 6 months, dose 2, under 3
    MedDRA: Hand-foot-and-mouth disease, Influenza, Respiratory syncytial virus infection — Feeling: Good · 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
    MedDRA releases: 2024-11
  26. 2023-01-26
    Report sent to call center — 6 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2023-01-27
  28. 2023-01-27
  29. 2023-04-10
    Survey response — 3 months, dose 3, under 3
    MedDRA: Pyrexia, Rhinorrhoea — Feeling: Good · 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
    MedDRA releases: 2024-11
  30. 2023-04-10
    Report sent to call center — 3 months, dose 3, 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2023-04-11
  32. 2023-04-11
  33. 2023-04-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-28Moderna No
32023-01-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-27 Unsuccessful
2023-01-26 Unsuccessful
2023-04-10 Unsuccessful

Free text

Release 12 (Under 3) — day 28, dose 1, under 3

2022-07-26

Symptoms: Fever for 48 hours, maybe sore throat

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

2022-10-27

Symptoms: Rsv

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
SDHand-foot-and-mouth disease · · ✓
SDInfluenza · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRhinorrhoea · · ✓

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

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