EPE-26296-05526
2 vaccinations
4 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 537 / WI
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- G97-15115-74966
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
-
2022-06-22
Survey response — day 0, dose 1, under 3MedDRA: Aggression — Feeling: Good · Irritability/cryingFree text: He had a tantrum. He doesn't have one every day, but it is not out of the ordinaryMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: Fatigue, Feeling abnormal, Feeling hot, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever (max 100.5) on 7/2 pm. He woke up from nap feeling warm and very tired. He was clingy and didn't want to play. He asked for bedtime 1.5 hours early and slept well. the next morning with no fever and acting normally. Negative rapid Covid testMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
-
2022-07-20
Survey response — day 0, dose 2, under 3MedDRA: Irritability — Feeling: Fair · Irritability/cryingFree text: He's just been a bit more cranky at times. Overall he has been happy and energeticMedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-29
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2023-01-18
Survey response — 6 months, dose 2, under 3MedDRA: Emergency care, Respiratory rate increased, Respiratory syncytial virus 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, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-18
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2023-01-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 0, dose 1, under 3
Systemic reaction (other): He had a tantrum. He doesn't have one every day, but it is not out of the ordinary
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Fever (max 100.5) on 7/2 pm. He woke up from nap feeling warm and very tired. He was clingy and didn't want to play. He asked for bedtime 1.5 hours early and slept well. the next morning with no fever and acting normally. Negative rapid Covid test
Release 12 (Under 3) — day 0, dose 2, under 3
Systemic reaction (other): He's just been a bit more cranky at times. Overall he has been happy and energetic
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory rate increased | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Aggression | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release