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GKM-19081-56965

3 vaccinations 4 coded responses 36 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
762 / TX
Registered
2022-08-05
Relationship
Child or adolescent in my care
Guardian
5TE-75679-84709
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-05
    Registered in v-safe
  2. 2022-08-05
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Hib:Other:Rotavirus:Tetanus
  3. 2022-08-05
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Site: Pain · Fever · Irritability/crying
    Under 3 check-in
  4. 2022-08-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  5. 2022-08-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-08-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-11
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-12
    Survey response — day 7, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Poor · Fever · Irritability/crying, Diarrhea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-08-12
    Report sent to call center — day 7, dose 1, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-08-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  12. 2022-08-19
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-28
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-02
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-08
    Dose 2 — Moderna
  16. 2022-09-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain · Sleepiness
    Under 3 check-in
  17. 2022-09-10
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair · Sleepiness
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-11
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-09-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-09-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-09-17
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-09-22
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-29
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-10-06
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-10-13
    Survey response — day 35, dose 2, under 3
    MedDRA: Hand-foot-and-mouth disease — Feeling: Good · Be unable to work or attend school
    Free text: Hand foot mouth disease
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-10-20
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-12-08
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2023-02-16
    Dose 3 — Moderna
  29. 2023-02-16
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-02-17
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-02-18
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-02-19
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-02-20
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  34. 2023-02-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  35. 2023-02-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  36. 2023-02-23
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  37. 2023-03-02
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-03-09
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-03-16
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-03-23
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  41. 2023-03-30
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  42. 2023-05-18
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-05Moderna Hepatitis B:Hib:Other:Rotavirus:Tetanus
22022-09-08Moderna No
32023-02-16Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-12 Successful
2022-08-15
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-08-12

Systemic reaction (other): Runny nose

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-09-10

Systemic reaction (other): Runny nose

2022-09-11

Systemic reaction (other): Runny nose

Release 12 (Under 3) — day 35, dose 2, under 3

2022-10-13

Symptoms: Hand foot mouth disease

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 · · ✓
SRORhinorrhoea · · ✓

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

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