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M5X-31979-30622

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
980 / WA
Registered
2022-07-06
Relationship
Child or adolescent in my care
Guardian
ZP2-90831-40010
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-05
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus
  2. 2022-07-06
    Registered in v-safe
  3. 2022-07-06
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness · Fever · Irritability/crying · Be unable to do your normal daily activities
    Free text: Inability to sleep
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain, Redness · Fever · None
    Under 3 check-in
  5. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-09
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Unevaluable event — Feeling: Fair · Irritability/crying, Loss of appetite
    Free text: Might be teething
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-11
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-12
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-19
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-26
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-02
    Survey response — day 28, dose 1, under 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Runny nose, congestion
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-09
    Survey response — day 35, dose 1, under 3
    MedDRA: Cough, Feeding disorder, Office visit, Poor quality sleep, Respiratory tract congestion, Rhinorrhoea, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bad virus, runny nose, congestion, cough, poor bottle drinking, poor sleeping · Healthcare visit (other): Pediatrician
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-08-09
    Report sent to call center — day 35, dose 1, under 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2022-08-10
  16. 2022-08-16
    Health check-in — day 42, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  17. 2022-09-01
    Dose 2 — Moderna
  18. 2022-09-02
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Chills, Crying, Insomnia, Pyrexia — Feeling: Poor · Site: Pain · Fever · Irritability/crying
    Free text: Chills, fever, sleeplessness, crying
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-09-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-09-04
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-09-05
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-09-06
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-05Moderna Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus
22022-09-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-09 Unsuccessful

Free text

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

2022-07-06

Systemic reaction (other): Inability to sleep

2022-07-09

Systemic reaction (other): Might be teething

Release 12 (Under 3) — day 28, dose 1, under 3

2022-08-02

Symptoms: Runny nose, congestion

Release 12 (Under 3) — day 35, dose 1, under 3

2022-08-09

Symptoms: Bad virus, runny nose, congestion, cough, poor bottle drinking, poor sleeping
Healthcare visit (other): Pediatrician

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-09-02

Systemic reaction (other): Chills, fever, sleeplessness, crying

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
HCVOOffice visit · · ✓
SDCough · · ✓
SDFeeding disorder · · ✓
SDPoor quality sleep · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDViral infection · · ✓
SROChills · · ✓
SROCrying · · ✓
SROInsomnia · · ✓
SROPyrexia · · ✓
SROUnevaluable event · · ✓

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