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GHD-28445-87136

2 vaccinations 1 coded response 6 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
152 / PA
Registered
2022-09-19
Relationship
Child or adolescent in my care
Guardian
3FD-29498-94890
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-07-29
    Dose 1 — Moderna
  2. 2022-08-26
    Dose 2 — Moderna
  3. 2022-09-19
    Registered in v-safe
  4. 2022-09-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-09-25
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2022-09-30
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  7. 2022-10-07
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-11-26
    Survey response — 3 months, dose 2, dependent
    MedDRA: Conjunctivitis bacterial — Feeling: Fair · 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: Bacterial conjunctivitis
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-26
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-11-28
  11. 2022-11-29
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  12. 2023-02-24

Vaccinations

DoseDateManufacturerCo-administered
12022-07-29Moderna No
22022-08-26Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-26 Successful
2022-11-29
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — 3 months, dose 2, dependent

2022-11-26

Symptoms: Bacterial conjunctivitis

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
SDConjunctivitis bacterial · · ✓

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