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MHN-18261-75014

2 vaccinations 5 coded responses 19 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
327 / FL
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
HD8-66102-98302
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-09
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-16
    Survey response — day 21, dose 1, dependent
    MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, mild congestion with dry cough
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-23
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-30
    Dose 2 — Moderna
  10. 2022-07-30
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-08-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-06
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-08-13
    Survey response — day 14, dose 2, dependent
    MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Good
    Free text: Stuffy nose/congestion for 7 days
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-08-20
    Survey response — day 21, dose 2, dependent
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-27
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-09-03
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-09-10
    Survey response — day 42, dose 2, dependent
    MedDRA: Ear infection, Respiratory tract congestion, Tonsillar hypertrophy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection, swollen tonsils, congestion
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-09-10
    Report sent to call center — day 42, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-09-12
  24. 2023-01-30
    Survey response — 6 months, dose 2, dependent
    MedDRA: Cough, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  25. 2023-01-30
    Report sent to call center — 6 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2023-01-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2023-01-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-30Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 — day 21, dose 1, dependent

2022-07-16

Symptoms: Fever, mild congestion with dry cough

Release 12 — day 14, dose 2, dependent

2022-08-13

Symptoms: Stuffy nose/congestion for 7 days

Release 12 — day 21, dose 2, dependent

2022-08-20

Symptoms: Congestion

Release 12 — day 42, dose 2, dependent

2022-09-10

Symptoms: Ear infection, swollen tonsils, congestion

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
SDCough · · ✓
SDEar infection · · ✓
SDNasal congestion · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSinus disorder · · ✓
SDTonsillar hypertrophy · · ✓

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