LC7-71852-74660
3 vaccinations
20 coded responses
38 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 024 / MA
- Registered
- 2022-07-11
- Relationship
- Child or adolescent in my care
- Guardian
- A5J-69943-47970
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2022-07-11
Registered in v-safe
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2022-07-11
Dose 1 — ModernaCo-administered: Hib:Other:Pneumonia:Polio:Tetanus
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2022-07-11
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
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2022-07-12
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
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2022-07-13
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-15
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2022-07-16
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-07-17
- 2022-07-18
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2022-07-25
Survey response — day 14, dose 1, under 3MedDRA: Teething — Feeling: FairFree text: TeethingMedDRA releases: 2024-11 · check-in free text available
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2022-08-01
Survey response — day 21, dose 1, under 3MedDRA: Constipation — Feeling: GoodFree text: ConstipationMedDRA releases: 2024-11 · check-in free text available
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2022-08-08
Survey response — day 28, dose 1, under 3MedDRA: Constipation — Feeling: GoodFree text: ConstipationMedDRA releases: 2024-11 · check-in free text available
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2022-08-12
Dose 2 — Moderna
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2022-08-12
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Pain · Irritability/cryingUnder 3 check-in
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2022-08-13
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Breast feeding, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesFree text: Fever at 3am, gave Motrin but didn't take temperature. Took 2 hours to settle and breastfed constantly (3am-5am).MedDRA releases: 2024-11 · check-in free text available
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2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Loss of appetiteUnder 3 check-in
- 2022-08-15
- 2022-08-16
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2022-08-17
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesFree text: Runny nose, cough, grabbing throat so possible sore throat - this was all yesterday evening after I already submitted VSafe report for the dayMedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough — Feeling: Fair · Fever · Sleepiness, Irritability/cryingFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-08-19
Survey response — day 7, dose 2, under 3MedDRA: Cough, Poor quality sleep, Pyrexia, Rhinorrhoea, Sleep disorder — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesFree text: Cough, runny nose, interrupted/ light sleep due to feverMedDRA releases: 2024-11 · check-in free text available
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2022-08-26
Survey response — day 14, dose 2, under 3MedDRA: Ear infection — Feeling: Fair · 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: Ear infection 8/25/22, currently treating with amoxicillinMedDRA releases: 2024-11 · check-in free text available
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2022-08-26
Report sent to call center — day 14, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-29
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2022-08-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-02
- 2022-09-09
- 2022-09-16
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2022-09-23
Survey response — day 42, dose 2, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Saturday 9/17/2022 - fever overnight, congestion, cough, runny nose, mostly resolved over the weekend, though runny nose is still lingering.MedDRA releases: 2024-11 · check-in free text available
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2022-11-13
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headcold Saturday 11/12/22 to present - runny nose, cough, fatigue, sore throatMedDRA releases: 2024-11 · check-in free text available
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2023-01-05
Dose 3 — Moderna
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2023-01-05
Survey response — day 0, dose 3, under 3MedDRA: Discomfort, Restlessness — Feeling: Fair · Site: Pain · Fever · Irritability/crying · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-01-06
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Pain · Sleepiness, Irritability/cryingUnder 3 check-in
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2023-01-07
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Abdominal pain, Clumsiness, Fatigue, Headache — Feeling: Fair · Site: Pain · SleepinessMedDRA releases: 2024-11
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2023-01-08
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Diarrhoea — Feeling: Good · DiarrheaMedDRA releases: 2024-11
- 2023-01-09
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2023-01-10
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Feeling hot, Self-medication — Feeling: Fair · Fever · Sleepiness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-01-11
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Middle insomnia — Feeling: GoodMedDRA releases: 2024-11
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2023-01-12
Survey response — day 7, dose 3, under 3MedDRA: Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-01-19
Survey response — day 14, dose 3, under 3MedDRA: Malaise, Self-medication — Feeling: GoodMedDRA releases: 2024-11
- 2023-01-26
- 2023-02-02
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2023-02-09
Survey response — day 35, dose 3, under 3MedDRA: Constipation, Ear pain, Middle insomnia, Teething — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-02-16
Survey response — day 42, dose 3, under 3MedDRA: Ear pain, Fatigue, Middle insomnia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-06
Survey response — 3 months, dose 3, under 3MedDRA: Illness — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-11 | Moderna | Hib:Other:Pneumonia:Polio:Tetanus |
| 2 | 2022-08-12 | Moderna | No |
| 3 | 2023-01-05 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Teething
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Constipation
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Constipation
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Fever at 3am, gave Motrin but didn't take temperature. Took 2 hours to settle and breastfed constantly (3am-5am).
Systemic reaction (other): Runny nose, cough, grabbing throat so possible sore throat - this was all yesterday evening after I already submitted VSafe report for the day
Systemic reaction (other): Cough
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Cough, runny nose, interrupted/ light sleep due to fever
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Ear infection 8/25/22, currently treating with amoxicillin
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Saturday 9/17/2022 - fever overnight, congestion, cough, runny nose, mostly resolved over the weekend, though runny nose is still lingering.
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Headcold Saturday 11/12/22 to present - runny nose, cough, fatigue, sore throat
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 | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Teething | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Breast feeding | · | · | ✓ |
| SRO | Clumsiness | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Restlessness | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release