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KQA-13589-54813

3 vaccinations 3 coded responses 13 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
150 / PA
Registered
2022-07-08
Relationship
Child or adolescent in my care
Guardian
ALE-32527-41784
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-07
    Dose 1 — Moderna
  2. 2022-07-08
    Registered in v-safe
  3. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-12
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-23
    Survey response — day 14, dose 1, under 3
    MedDRA: Sinusitis — Feeling: Good
    Free text: Sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-30
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-08-05
    Dose 2 — Moderna
  9. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-21
    Health check-in — day 14, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  12. 2022-08-26
    Survey response — day 21, dose 2, under 3
    MedDRA: Cough, Ear infection, Sinusitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection, croup cough then barky cough, sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-26
    Report sent to call center — day 21, dose 2, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2022-08-29
  15. 2022-09-02
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-09-12
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-09-18
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-01-25
    Dose 3 — Other-Unknown
  19. 2023-02-03
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-07Moderna No
22022-08-05Moderna No
32023-01-25Other-Unknown No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

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

2022-07-12

Systemic reaction (other): Runny nose

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

2022-07-23

Symptoms: Sinus infection

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-26

Symptoms: Ear infection, croup cough then barky cough, sinus infection

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
SDCough · · ✓
SDEar infection · · ✓
SDSinusitis · · ✓
SRORhinorrhoea · · ✓

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