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KVV-26196-38804

2 vaccinations 2 coded responses 12 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
951 / CA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
PEW-62057-71433
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-23
    Registered in v-safe
  3. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fever · None
    Adult check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-01
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-08
    Survey response — day 14, dose 1, dependent
    MedDRA: Croup infectious, SARS-CoV-2 test negative — Feeling: Good · 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: Got croup that required steroids for treatment. It was NOT due to COVID-19, all tests were negative
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-08
    Report sent to call center — day 14, dose 1, dependent
    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)
  9. 2022-07-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  10. 2022-07-15
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-20
    Dose 2 — Moderna
  12. 2022-07-22
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Otitis media — Feeling: Fair · Site: Pain · Fever · Chills · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: She has middle ear infection, symptoms started Wednesday night 7/20
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-22
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  16. 2022-07-27
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-08-26
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-09-02
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2023-01-18

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 — day 14, dose 1, dependent

2022-07-08

Symptoms: Got croup that required steroids for treatment. It was NOT due to COVID-19, all tests were negative

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-22

Systemic reaction (other): She has middle ear infection, symptoms started Wednesday night 7/20

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
SDCroup infectious · · ✓
SDSARS-CoV-2 test negative · · ✓
SROOtitis media · · ✓

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