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MBL-38626-42845

3 vaccinations 2 coded responses 35 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
376 / TN
Registered
2022-07-01
Relationship
Child or adolescent in my care
Guardian
K4D-20285-11342
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-29
    Dose 1 — Moderna
  2. 2022-07-01
    Registered in v-safe
  3. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  8. 2022-07-06
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Under 3 check-in
  9. 2022-07-13
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-20
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-27
    Dose 2 — Moderna
  12. 2022-07-27
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-03
    Survey response — day 7, dose 2, under 3
    MedDRA: Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend school
    Free text: Strep throat positive
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-10
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-17
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-24
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-31
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-07
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-10-26
    Survey response — 3 months, dose 2, under 3
    MedDRA: Tympanic membrane perforation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ruptured eardrum
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-10-26
    Report sent to call center — 3 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)
  27. 2022-10-27
  28. 2023-01-04
    Dose 3 — Moderna
  29. 2023-01-05
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-01-06
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-01-07
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-01-08
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-01-09
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  34. 2023-01-10
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  35. 2023-01-11
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  36. 2023-01-18
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2023-01-25
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-02-01
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-02-08
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-02-15
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  41. 2023-04-05
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-29Moderna No
22022-07-27Moderna No
32023-01-04Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 7, dose 2, under 3

2022-08-03

Systemic reaction (other): Strep throat positive

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

2022-10-26

Symptoms: Ruptured eardrum

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
SDTympanic membrane perforation · · ✓
SROPharyngitis streptococcal · · ✓

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

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