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D5L-21602-29548

2 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
488 / MI
Registered
2022-07-08
Relationship
Child or adolescent in my care
Guardian
SA9-59095-79467
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-02
    Dose 1 — Moderna
  2. 2022-07-08
    Registered in v-safe
  3. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-16
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-23
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-30
    Dose 2 — Moderna
  8. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  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 — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-08-06
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-13
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-20
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-27
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-09-03
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-09-10
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-10-29
    Survey response — 3 months, dose 2, under 3
    MedDRA: Respiratory disorder — 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: Respiratory illness
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-10-29
    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)
  21. 2022-10-31
  22. 2022-10-31
    Call successful
    Not applicable - Accidental Reporting
  23. 2023-01-28
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-02Moderna No
22022-07-30Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-10-29

Symptoms: Respiratory illness

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
SDRespiratory disorder · · ✓

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

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