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H5G-43832-89961

2 vaccinations 2 coded responses 24 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
993 / WA
Registered
2022-07-05
Relationship
Child or adolescent in my care
Guardian
G9N-88249-36374
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-02
    Dose 1 — Moderna
  2. 2022-07-05
    Registered in v-safe
  3. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2022-07-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-08
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site pruritus — Feeling: Good · Site: Redness, Itching
    Free text: Her itchiness at injection site goes back three days but I just learned of it last night.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-09
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  8. 2022-07-16
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-23
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-08-03
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-08-06
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-08-13
    Health check-in — day 42, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-09-04
    Dose 2 — Moderna
  14. 2022-09-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tiredness
    Adult check-in
  15. 2022-09-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  16. 2022-09-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-09-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-09-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-09-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2022-09-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-09-18
    Survey response — day 14, dose 2, dependent
    MedDRA: Otitis media, SARS-CoV-2 test negative — Feeling: Good · 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: Diagnosed middle ear infection. Covid negative
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-09-18
    Report sent to call center — day 14, dose 2, dependent
    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)
  23. 2022-09-19
  24. 2022-09-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-10-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-10-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-10-16
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  28. 2022-12-04
  29. 2023-03-05

Vaccinations

DoseDateManufacturerCo-administered
12022-07-02Moderna No
22022-09-04Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-07-08

Systemic reaction (other): Her itchiness at injection site goes back three days but I just learned of it last night.

Release 12 — day 14, dose 2, dependent

2022-09-18

Symptoms: Diagnosed middle ear infection. Covid negative

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
SDOtitis media · · ✓
SDSARS-CoV-2 test negative · · ✓
SROInjection site pruritus · · ✓

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

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