MA3-31981-17444

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 0-4
ZIP prefix: 660 / KS
Registered: 2022-06-23

Relationship: Child or adolescent in my care
Guardian: NPE-16463-12734
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-23
Registered in v-safe
2022-06-23
Dose 1 — Moderna
2022-06-23
Health check-in — day 0, dose 1, under 3
Feeling: Good · Fever · Irritability/crying

Under 3 check-in
2022-06-24
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-27
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Ear pain, Lacrimation increased, Swelling of eyelid — Feeling: Fair · Fever · Irritability/crying

Free text: Ear pain, swollen eyelids, watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Cough, Ear discomfort, Eye swelling, Lacrimation increased, Middle ear effusion, Nasal congestion — Feeling: Poor · Fever · Sleepiness, Irritability/crying · 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: Fluid and irritation in his ear, swollen eyes, runny eyes, stuffy nose, slight cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — days 1–6 daily, dose 1, under 3
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)
2022-06-29
Call 1 — Left Voicemail
2022-07-02
Health check-in — day 7, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-07-08
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-14
Survey response — day 21, dose 1, under 3
MedDRA: Nasal congestion, Productive cough, Rhinorrhoea — Feeling: Fair

Free text: Worsening productive cough, runny and congested nose.

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Dose 2 — Moderna
2022-07-21
Survey response — day 0, dose 2, under 3
MedDRA: Lacrimation increased, Productive cough, Rhinorrhoea — Feeling: Fair · Sleepiness, Irritability/crying

Free text: Runny nose and eyes, productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · Irritability/crying, Rash, not including the immediate area around the injection site

Under 3 check-in
2022-07-23
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Eye discharge, Productive cough, Rhinorrhoea — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite

Free text: Still has runny nose and eyes and a productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Productive cough — Feeling: Good · Irritability/crying

Free text: Still has a productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Sleepiness, Irritability/crying

Under 3 check-in
2022-07-26
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough — Feeling: Good · Irritability/crying

Free text: Dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · Sleepiness, Irritability/crying

Under 3 check-in
2022-07-30
Health check-in — day 7, dose 2, under 3
Feeling: Good · Irritability/crying, Loss of appetite

Under 3 check-in
2022-08-04
Survey response — day 14, dose 2, under 3
MedDRA: Cough, Decreased appetite, Diarrhoea, Discomfort, Mood altered — Feeling: Fair · Be unable to work or attend school

Free text: Has had loose stools, no or decreased appetite, cough, and is just generally unhappy and seems uncomfortable the last 3 days

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Survey response — day 21, dose 2, under 3
MedDRA: Nasal pruritus, Self-medication — Feeling: Good

Free text: His nose is permanently itchy. We even put prescription strength steroid ointment on it and he is literally constantly itching it.

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Survey response — day 28, dose 2, under 3
MedDRA: Cough, Diarrhoea, Gastroenteritis viral — Feeling: Good · Be unable to work or attend school

Free text: Has had a couple of stomach bugs and continues to have loose stools on and off. Developing a cough today.

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-02
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-20
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-19
Health check-in — 6 months, dose 2, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-23	Moderna	No
2	2022-07-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

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

2022-06-27

Systemic reaction (other): Ear pain, swollen eyelids, watery eyes

2022-06-28

Systemic reaction (other): Fluid and irritation in his ear, swollen eyes, runny eyes, stuffy nose, slight cough

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-14

Symptoms: Worsening productive cough, runny and congested nose.

Release 12 (Under 3) — day 0, dose 2, under 3

2022-07-21

Systemic reaction (other): Runny nose and eyes, productive cough

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

2022-07-23

Systemic reaction (other): Still has runny nose and eyes and a productive cough

2022-07-24

Systemic reaction (other): Still has a productive cough

2022-07-26

Systemic reaction (other): Dry cough

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-04

Symptoms: Has had loose stools, no or decreased appetite, cough, and is just generally unhappy and seems uncomfortable the last 3 days

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-11

Symptoms: His nose is permanently itchy. We even put prescription strength steroid ointment on it and he is literally constantly itching it.

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-20

Symptoms: Has had a couple of stomach bugs and continues to have loose stools on and off. Developing a cough today.

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	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Discomfort	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Mood altered	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal pruritus	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	·	·	✓
SRO	Cough	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Eye discharge	·	·	✓
SRO	Eye swelling	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Middle ear effusion	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Swelling of eyelid	·	·	✓

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