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MWM-27486-09881

3 vaccinations 3 coded responses 36 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
913 / CA
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
9KS-21898-37163
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-25
    Registered in v-safe
  2. 2022-10-14
    Dose 1 — Moderna
  3. 2022-10-15
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Dermatitis diaper — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Diaper rash but she also started solid food recently
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-10-16
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Dermatitis diaper — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Still having diaper rash
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-10-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-10-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-10-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-10-20
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Conjunctivitis — Feeling: Good · Irritability/crying, Loss of appetite · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Conjunctivitis
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-20
    Report sent to call center — days 1–6 daily, dose 1, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-10-21
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-10-21
  12. 2022-10-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  13. 2022-10-28
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-11-04
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-11-11
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-11-18
    Dose 2 — Moderna
  17. 2022-11-18
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-11-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-11-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  20. 2022-11-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-11-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-11-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2022-11-25
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  24. 2022-12-02
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-12-09
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-12-16
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-12-23
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-12-30
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  29. 2023-01-20
    Dose 3 — Moderna
  30. 2023-01-20
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-01-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-01-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-01-23
    Health check-in — days 1–6 daily, dose 3, 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
  34. 2023-01-24
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Under 3 check-in
  35. 2023-01-25
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  36. 2023-01-26
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  37. 2023-01-27
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  38. 2023-02-03
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-02-10
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-02-17
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  41. 2023-02-24
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  42. 2023-03-03
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  43. 2023-04-21
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-14Moderna No
22022-11-18Moderna No
32023-01-20Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-10-15

Systemic reaction (other): Diaper rash but she also started solid food recently

2022-10-16

Systemic reaction (other): Still having diaper rash

2022-10-20

Systemic reaction (other): Conjunctivitis

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
SROConjunctivitis · · ✓
SRODermatitis diaper · · ✓

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

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