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ALJ-36841-05383

2 vaccinations 2 coded responses 16 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
282 / NC
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
C62-30915-43494
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-06-28
    Registered in v-safe
  3. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-30
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-21
    Survey response — day 28, dose 1, under 3
    MedDRA: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Poor
    Free text: She has a cold we think she got from her first day at preschool. We did a COVID test at home and it was negative. She had a runny nose and is sneezing, no other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-28
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-29
    Dose 2 — Moderna
  11. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-08-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-08-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-21
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-26
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-09-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-09-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-10-28
    Survey response — 3 months, dose 2, under 3
    MedDRA: Cough, Croup infectious, Ear infection, Nasal congestion, Viral infection — Feeling: Fair · 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: Stuffy nose, cough. Croup and ear infection diagnosed 3 weeks ago. Likely caught another virus from daycare recently
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-10-28
    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)
  20. 2022-11-01
  21. 2023-01-27
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-28 Unsuccessful

Free text

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

2022-07-21

Symptoms: She has a cold we think she got from her first day at preschool. We did a COVID test at home and it was negative. She had a runny nose and is sneezing, no other symptoms.

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

2022-10-28

Symptoms: Stuffy nose, cough. Croup and ear infection diagnosed 3 weeks ago. Likely caught another virus from daycare recently

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 · · ✓
SDCroup infectious · · ✓
SDEar infection · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SDViral infection · · ✓

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