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J26-50343-09191

1 vaccination 2 coded responses 10 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
972 / OR
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
7Z4-18206-33203
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-06-27
    Registered in v-safe
  3. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-30
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-07
    Survey response — day 14, dose 1, under 3
    MedDRA: Injection site inflammation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Inflammation at vaccine site
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-07
    Report sent to call center — day 14, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  9. 2022-07-08
  10. 2022-07-14
    Survey response — day 21, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school
    Free text: Contracted covid 19
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-21
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-28
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-24
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-12-22
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-07

Symptoms: Inflammation at vaccine site

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-14

Symptoms: Contracted covid 19

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
SDCOVID-19 · · ✓
SDInjection site inflammation · · ✓

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