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KZA-10597-97309

2 vaccinations 3 coded responses 23 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
460 / IN
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
8FG-15438-22578
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-05
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-26
    Dose 2 — Moderna
  13. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  14. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  19. 2022-08-02
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-09
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-16
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-25
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-30
    Survey response — day 35, dose 2, under 3
    MedDRA: Upper limb fracture — Feeling: Good
    Free text: Broke her right elbow
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-09-06
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-10-27
    Survey response — 3 months, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Covid diagnosis 2 weeks ago
    MedDRA releases: 2024-11 · check-in free text available
  26. 2023-01-24
    Survey response — 6 months, dose 2, under 3
    MedDRA: Eyelid margin crusting, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  27. 2023-01-24
    Report sent to call center — 6 months, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2023-01-25
  29. 2023-01-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 35, dose 2, under 3

2022-08-30

Symptoms: Broke her right elbow

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-27

Symptoms: Covid diagnosis 2 weeks ago

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
SDCOVID-19 · · ✓
SDEyelid margin crusting · · ✓
SDRhinorrhoea · · ✓
SDUpper limb fracture · · ✓

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

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