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
-
2022-06-22
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
- 2022-06-24
- 2022-06-26
- 2022-07-01
-
2022-07-08
Survey response — day 14, dose 1, dependentMedDRA: 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 visitFree text: Got croup that required steroids for treatment. It was NOT due to COVID-19, all tests were negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Report sent to call center — day 14, dose 1, dependentBe 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)
-
2022-07-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-15
-
2022-07-20
Dose 2 — Moderna
-
2022-07-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: 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 consultationFree text: She has middle ear infection, symptoms started Wednesday night 7/20MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-25
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-27
- 2022-08-26
- 2022-09-02
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 12 — day 14, dose 1, dependent
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Croup infectious | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Otitis media | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release