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FJS-37791-48184

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
852 / AZ
Registered
2022-10-05
Relationship
Child or adolescent in my care
Guardian
4N3-20302-85716
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-15
    Dose 1 — Moderna
  2. 2022-09-13
    Dose 2 — Moderna
  3. 2022-10-05
    Registered in v-safe
  4. 2022-10-05
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-10-11
    Survey response — day 28, dose 2, under 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Worsening congestion, likely unrelated to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-10-11
    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)
  7. 2022-10-12
  8. 2022-10-19
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-10-25
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-12-15
    Survey response — 3 months, dose 2, under 3
    MedDRA: Hand-foot-and-mouth disease — Feeling: Good · Be unable to work or attend school
    Free text: Hand foot & mouth - contracted from daycare, not vaccine related
    MedDRA releases: 2024-11 · check-in free text available
  11. 2023-03-16
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-15Moderna No
22022-09-13Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-11 Unsuccessful

Free text

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

2022-10-11

Symptoms: Worsening congestion, likely unrelated to vaccine

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

2022-12-15

Symptoms: Hand foot & mouth - contracted from daycare, not vaccine related

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
SDHand-foot-and-mouth disease · · ✓
SDRespiratory tract congestion · · ✓

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

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