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KLS-20007-06357

2 vaccinations 3 coded responses 17 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
979 / OR
Registered
2022-10-18
Relationship
Child or adolescent in my care
Guardian
6VM-30747-38002
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-13
    Dose 1 — Other-Unknown
    Co-administered: Flu
  2. 2022-10-18
    Registered in v-safe
  3. 2022-10-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying, Loss of appetite
    Under 3 check-in
  4. 2022-10-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-10-20
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-10-27
    Survey response — day 14, dose 1, under 3
    MedDRA: Balance disorder — Feeling: Fair
    Free text: Could be an inner ear infection, but since the day after vaccination he's had balance issues.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-11-03
    Dose 2 — Other-Unknown
  8. 2022-11-03
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Sleepiness, Irritability/crying
    Under 3 check-in
  9. 2022-11-06
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-11-07
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-11-08
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-11-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-11-12
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-11-19
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-11-26
    Health check-in — day 21, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  16. 2022-12-01
    Survey response — day 28, dose 2, under 3
    MedDRA: Malaise, Pyrexia, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Fever of 105, viral activity on chest xray negative respiratory virus panel. Sick for days followed by full body rash.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-12-01
    Report sent to call center — day 28, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  18. 2022-12-02
  19. 2022-12-08
    Health check-in — day 35, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  20. 2022-12-15
    Health check-in — day 42, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  21. 2023-02-02
    Health check-in — 3 months, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  22. 2023-05-04
    Survey response — 6 months, dose 2, under 3
    MedDRA: Speech disorder — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-10-13Other-Unknown Flu
22022-11-03Other-Unknown No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-01 Unsuccessful

Free text

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

2022-10-27

Symptoms: Could be an inner ear infection, but since the day after vaccination he's had balance issues.

Release 12 (Under 3) — day 28, dose 2, under 3

2022-12-01

Symptoms: Fever of 105, viral activity on chest xray negative respiratory virus panel. Sick for days followed by full body rash.

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
SDBalance disorder · · ✓
SDMalaise · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDSpeech disorder · · ✓

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