NN3-30293-07179
2 vaccinations
4 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 604 / IL
- Registered
- 2022-08-06
- Relationship
- Child or adolescent in my care
- Guardian
- TGN-30386-09005
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-03
Dose 1 — Moderna
-
2022-08-06
Registered in v-safe
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-19
- 2022-08-24
-
2022-08-31
Dose 2 — Moderna
- 2022-08-31
-
2022-09-01
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Swelling/hardness · DiarrheaUnder 3 check-in
- 2022-09-02
-
2022-09-04
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Lip erythema — Feeling: Good · DiarrheaFree text: Red lipsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-05
- 2022-09-06
- 2022-09-09
- 2022-09-15
- 2022-09-21
- 2022-09-30
-
2022-10-05
Survey response — day 35, dose 2, under 3MedDRA: Diarrhoea infectious, Viral diarrhoea — Feeling: GoodFree text: 10+ episodes of diarrhea yesterday (likely viral versus traveling/eating more junk food/snacksMedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
-
2022-11-30
Survey response — 3 months, dose 2, under 3MedDRA: Conjunctivitis, Cough, Rhinorrhoea — Feeling: FairFree text: Cough, conjunctivitis, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2023-03-02
Survey response — 6 months, dose 2, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-02
Report sent to call center — 6 months, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-03 | Moderna | No |
| 2 | 2022-08-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Red lips
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: 10+ episodes of diarrhea yesterday (likely viral versus traveling/eating more junk food/snacks
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Cough, conjunctivitis, runny nose
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea infectious | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral diarrhoea | · | · | ✓ |
| SRO | Lip erythema | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release