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HU2-21843-57633

1 vaccination 1 coded response 13 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
432 / OH
Registered
2022-08-27
Relationship
Child or adolescent in my care
Guardian
NR7-19868-90292
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-26
    Dose 1 — Moderna
  2. 2022-08-27
    Registered in v-safe
  3. 2022-08-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-08-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-08-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-08-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-31
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-09-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-09-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-09-11
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-16
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-23
    Survey response — day 28, dose 1, under 3
    MedDRA: Exposure to SARS-CoV-2, Insomnia, Office visit, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sleepless night with fever of 103. Another day or so of fevers around 100. Both of his parents had COVID so I believe he did too although I never tested him. The nurse at his pediatrician's office said to treat him as though he had COVID.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-09-23
    Report sent to call center — day 28, dose 1, 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
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-09-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  15. 2022-10-03
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-10-08
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-11-26
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 28, dose 1, under 3

2022-09-23

Symptoms: Sleepless night with fever of 103. Another day or so of fevers around 100. Both of his parents had COVID so I believe he did too although I never tested him. The nurse at his pediatrician's office said to treat him as though he had COVID.

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
SDExposure to SARS-CoV-2 · · ✓
SDInsomnia · · ✓
SDOffice visit · · ✓
SDPyrexia · · ✓

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

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