KG6-28662-72295
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 296 / SC
- Registered
- 2022-07-16
- Relationship
- Child or adolescent in my care
- Guardian
- 9PJ-20656-58594
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-15
Dose 1 — Moderna
-
2022-07-16
Registered in v-safe
-
2022-07-16
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Unevaluable event — Feeling: Fair · Irritability/cryingFree text: teethingMedDRA releases: 2024-11 · check-in free text available
-
2022-07-17
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-18
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-23
-
2022-07-29
Survey response — day 14, dose 1, under 3MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: Spontaneous redness & swelling noted at injection site 7 days post vaccination. Mild- resolved without intervention in 2-3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-05
- 2022-08-12
-
2022-08-16
Dose 2 — Moderna
-
2022-08-19
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Ear infection — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Report sent to call center — days 1–6 daily, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-20
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite, DiarrheaUnder 3 check-in
-
2022-08-21
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Ear infection — Feeling: Good · DiarrheaFree text: Ear infection- on antibioticsMedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
-
2022-08-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-23
-
2022-08-30
Survey response — day 14, dose 2, under 3MedDRA: Pyrexia, Unevaluable event — Feeling: GoodFree text: He had a full body wash, but that's been attributed to a fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-06
- 2022-09-13
- 2022-09-20
- 2022-09-27
- 2022-11-15
- 2023-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-15 | Moderna | No |
| 2 | 2022-08-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): teething
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Spontaneous redness & swelling noted at injection site 7 days post vaccination. Mild- resolved without intervention in 2-3 days.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Ear infection
Systemic reaction (other): Ear infection- on antibiotics
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: He had a full body wash, but that's been attributed to a fever.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Ear infection | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release