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DCN-33457-66096

3 vaccinations 5 coded responses 28 check-ins 1 free-text entry 3 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
336 / FL
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
7LF-16962-14175
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-06-26
    Dose 1 — Moderna
  3. 2022-06-26
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-24
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-29
    Dose 2 — Moderna
  13. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2022-08-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-08-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-08-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-08-26
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-09-02
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-09-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-10-28
    Survey response — 3 months, dose 2, dependent
    MedDRA: Viral infection — Feeling: Fair · 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: Caught multiple viruses from preschool
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-10-28
    Report sent to call center — 3 months, dose 2, dependent
    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)
  25. 2022-10-31
  26. 2022-12-28
    Dose 3 — Moderna
  27. 2023-01-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  28. 2023-01-04
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  29. 2023-01-18
    Survey response — day 21, dose 3, dependent
    MedDRA: Malaise — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  30. 2023-01-18
    Report sent to call center — day 21, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2023-01-19
  32. 2023-01-19
  33. 2023-01-25
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2023-02-03
    Survey response — day 35, dose 3, dependent
    MedDRA: Viral infection — Feeling: Fair
    MedDRA releases: 2024-11
  35. 2023-02-08
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2023-02-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  37. 2023-02-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  38. 2023-03-31
    Survey response — 3 months, dose 3, dependent
    MedDRA: Viral infection — Feeling: Fair · 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
  39. 2023-03-31
    Report sent to call center — 3 months, dose 3, dependent
    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)
  40. 2023-04-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  41. 2023-06-28
    Survey response — 6 months, dose 3, dependent
    MedDRA: Streptococcal infection, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-26Moderna No
22022-07-29Moderna No
32022-12-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-28 Successful
2023-02-14
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-18 Successful
2023-02-14
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-31 Successful
2023-04-03
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — 3 months, dose 2, dependent

2022-10-28

Symptoms: Caught multiple viruses from preschool

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
SDMalaise · · ✓
SDStreptococcal infection · · ✓
SDViral infection · · ✓

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

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