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GE5-10334-00343

3 vaccinations 4 coded responses 25 check-ins 1 free-text entry 3 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
488 / MI
Registered
2022-07-17
Relationship
Child or adolescent in my care
Guardian
4U5-26675-45049
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-12
    Dose 1 — Moderna
  2. 2022-07-17
    Registered in v-safe
  3. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  4. 2022-07-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-19
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-26
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-08-02
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-08-09
    Dose 2 — Moderna
  9. 2022-08-09
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-08-16
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-23
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-30
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-06
    Health check-in — day 28, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  14. 2022-09-13
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-20
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-11-08
    Survey response — 3 months, dose 2, under 3
    MedDRA: Gait inability, Pain in extremity — Feeling: Poor · 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
    Free text: His foot is too sore to walk on and we aren't sure why. Taking him to the doctor today or tomorrow.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-11-08
    Report sent to call center — 3 months, dose 2, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-11-09
  19. 2023-01-27
    Dose 3 — Moderna
  20. 2023-01-29
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2023-01-30
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2023-01-31
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2023-02-01
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  24. 2023-02-02
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Erythema — Feeling: Poor · Fever · 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
    MedDRA releases: 2024-11
  25. 2023-02-02
    Report sent to call center — days 1–6 daily, dose 3, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2023-02-03
    Survey response — day 7, dose 3, under 3
    MedDRA: Hand-foot-and-mouth disease, Skin ulcer, Stomatitis — Feeling: Poor · Irritability/crying, Loss of appetite · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  27. 2023-02-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  28. 2023-02-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  29. 2023-02-12
    Survey response — day 14, dose 3, under 3
    MedDRA: Drug eruption — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  30. 2023-02-12
    Report sent to call center — day 14, dose 3, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2023-02-13
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  32. 2023-02-17
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-02-24
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-03-03
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-03-10
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-04-28
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-12Moderna No
22022-08-09Moderna No
32023-01-27Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-08 Successful
2023-02-03
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-02 Successful
2023-02-03
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-12 Successful
2023-02-13
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

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

2022-11-08

Symptoms: His foot is too sore to walk on and we aren't sure why. Taking him to the doctor today or tomorrow.

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
SDDrug eruption · · ✓
SDGait inability · · ✓
SDPain in extremity · · ✓
SROErythema · · ✓
SROHand-foot-and-mouth disease · · ✓
SROSkin ulcer · · ✓
SROStomatitis · · ✓

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