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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

  1. 2022-07-15
    Dose 1 — Moderna
  2. 2022-07-16
    Registered in v-safe
  3. 2022-07-16
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Unevaluable event — Feeling: Fair · Irritability/crying
    Free text: teething
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  5. 2022-07-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-07-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-23
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-29
    Survey response — day 14, dose 1, under 3
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good
    Free 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
  11. 2022-08-05
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-12
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-16
    Dose 2 — Moderna
  14. 2022-08-19
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: 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 visit
    Free text: Ear infection
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-08-19
    Report sent to call center — days 1–6 daily, dose 2, 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-08-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite, Diarrhea
    Under 3 check-in
  17. 2022-08-21
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Ear infection — Feeling: Good · Diarrhea
    Free text: Ear infection- on antibiotics
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-08-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-22
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2022-08-23
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-30
    Survey response — day 14, dose 2, under 3
    MedDRA: Pyrexia, Unevaluable event — Feeling: Good
    Free text: He had a full body wash, but that's been attributed to a fever.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-09-06
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-13
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-20
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-09-27
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-11-15
    Health check-in — 3 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  27. 2023-02-14
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-15Moderna No
22022-08-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-07-16

Systemic reaction (other): teething

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

2022-07-29

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

2022-08-19

Systemic reaction (other): Ear infection

2022-08-21

Systemic reaction (other): Ear infection- on antibiotics

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-30

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

FieldPreferred term2021-092023-042024-11
SDInjection site erythema · · ✓
SDInjection site swelling · · ✓
SDPyrexia · · ✓
SDUnevaluable event · · ✓
SROEar infection · · ✓
SROUnevaluable event · · ✓

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