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QRV-22578-86150

3 vaccinations 1 coded response 37 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
633 / MO
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
Z5D-13766-40458
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-23
    Registered in v-safe
  3. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness, Irritability/crying
    Under 3 check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-06
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-20
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-27
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-03
    Dose 2 — Moderna
  14. 2022-08-04
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rash, Skin warm — Feeling: Fair · Site: Redness · Fever · Irritability/crying, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rash warm to touch
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-08-04
    Report sent to call center — days 1–6 daily, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  16. 2022-08-05
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Redness, Swelling/hardness · Sleepiness, Irritability/crying
    Under 3 check-in
  17. 2022-08-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  18. 2022-08-06
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-08-10
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2022-08-17
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-08-24
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-08-31
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-09-09
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-09-16
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-11-02
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  29. 2023-01-12
    Dose 3 — Moderna
  30. 2023-01-12
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  31. 2023-01-13
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Site: Pain · Sleepiness
    Under 3 check-in
  32. 2023-01-14
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-01-15
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  34. 2023-01-16
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  35. 2023-01-17
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  36. 2023-01-18
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  37. 2023-01-19
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · Sleepiness, Irritability/crying
    Under 3 check-in
  38. 2023-01-26
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-02-02
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-02-09
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  41. 2023-02-16
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  42. 2023-02-23
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  43. 2023-04-13
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-08-03Moderna No
32023-01-12Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-04 Successful
2022-08-05
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

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

2022-08-04

Systemic reaction (other): Rash warm to touch

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
SRORash · · ✓
SROSkin warm · · ✓

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

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