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FXZ-16266-85788

3 vaccinations 1 coded response 12 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
191 / PA
Registered
2022-07-09
Relationship
Child or adolescent in my care
Guardian
6UQ-90396-15070
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Dose 1 — Moderna
  2. 2022-07-09
    Registered in v-safe
  3. 2022-07-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-11
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-07-18
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-25
    Dose 2 — Moderna
  7. 2022-08-01
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-08
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-08-15
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-08-22
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-29
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-05
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-10-24
    Survey response — 3 months, dose 2, under 3
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash on hands and feet
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-10-24
    Report sent to call center — 3 months, 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. 2022-10-25
  16. 2023-01-11
    Dose 3 — Moderna
  17. 2023-01-23
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-04-12
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No
22022-07-25Moderna No
32023-01-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-24 Unsuccessful

Free text

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

2022-10-24

Symptoms: Rash on hands and feet

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
SDRash · · ✓

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

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