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E5Z-27925-79022

2 vaccinations 2 coded responses 23 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
600 / IL
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
BVL-12356-16633
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, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-03
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-11
    Survey response — day 14, dose 1, under 3
    MedDRA: Erythema, Penile swelling — Feeling: Good
    Free text: Swelling and redness of tip of penis
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-24
    Dose 2 — Moderna
  14. 2022-07-24
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  16. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  17. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  18. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-07
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-14
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-23
    Survey response — day 28, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cough and congestion, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-08-23
    Report sent to call center — day 28, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-08-24
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  25. 2022-08-30
    Health check-in — day 35, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  26. 2022-09-04
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-10-24
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2023-01-22
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-26Moderna No
22022-07-24Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-11

Symptoms: Swelling and redness of tip of penis

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-23

Symptoms: Cough and congestion, runny nose

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 · · ✓
SDErythema · · ✓
SDPenile swelling · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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

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