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B6R-23367-73250

1 vaccination 3 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
212 / MD
Registered
2022-07-14
Relationship
Child or adolescent in my care
Guardian
8YE-52111-15723
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-07-14
    Registered in v-safe
  3. 2022-07-14
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-09-27
    Survey response — 3 months, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-12-27
    Survey response — 6 months, dose 1, under 3
    MedDRA: Ear 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
    Free text: Ear infection
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-12-27
    Report sent to call center — 6 months, dose 1, 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)
  8. 2022-12-29
  9. 2023-06-30
    Survey response — 12 months, dose 1, under 3
    MedDRA: Gastroenteritis viral, Respiratory tract infection viral — 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, Emergency room or emergency department visit
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-09-27

Symptoms: Runny nose

Release 12 (Under 3) — 6 months, dose 1, under 3

2022-12-27

Symptoms: Ear infection

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
SDEar infection · · ✓
SDGastroenteritis viral · · ✓
SDRespiratory tract infection viral · · ✓
SDRhinorrhoea · · ✓

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