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EAM-20499-20068

2 vaccinations 2 coded responses 13 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
172 / PA
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
3ZS-15018-89410
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    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. 2022-07-03
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  6. 2022-07-15
    Survey response — day 21, dose 1, under 3
    MedDRA: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Fever, congestion, negative covid test
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-15
    Report sent to call center — day 21, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  8. 2022-07-18
  9. 2022-07-22
    Dose 2 — Moderna
  10. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Pain · Fever · Sleepiness
    Under 3 check-in
  11. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-29
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-08-05
    Survey response — day 14, dose 2, under 3
    MedDRA: Ear infection — Feeling: Fair · 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
  14. 2022-08-05
    Report sent to call center — day 14, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-08-08
  16. 2022-08-08
  17. 2022-08-14
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-19
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-08-26
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-09-02
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-10-21
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No
22022-07-22Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-15 Unsuccessful
2022-08-05 Unsuccessful

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-15

Symptoms: Fever, congestion, negative covid test

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-05

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 · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓

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

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