QVP-27990-99202
3 vaccinations
10 coded responses
30 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 432 / OH
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 8QC-45820-35646
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-28
-
2022-07-01
Survey response — day 7, dose 1, under 3MedDRA: Eczema — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is baseline d/t eczema and I do not think it is relatedMedDRA releases: 2024-11 · check-in free text available
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: COVID-19, Cough — Feeling: Fair · Be unable to work or attend schoolFree text: Covid-19 positive- main symptom is cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
- 2022-07-20
- 2022-07-29
- 2022-08-03
-
2022-08-12
Dose 2 — Moderna
-
2022-08-13
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Pyrexia — Feeling: Good · SleepinessFree text: Yesterday - day of shot he did have a fever 100.8MedDRA releases: 2024-11 · check-in free text available
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2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-08-16
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-18
-
2022-08-21
Survey response — day 7, dose 2, under 3MedDRA: Rash — Feeling: Good · Irritability/crying, Rash, not including the immediate area around the injection siteFree text: Likely unrelated rash (full body rash small red dots not raised) likely d/t another virus or change in soap or exposure to catsMedDRA releases: 2024-11 · check-in free text available
- 2022-08-28
- 2022-09-02
- 2022-09-10
- 2022-09-16
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2022-09-25
Survey response — day 42, dose 2, under 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold - Covid negative x2MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — 3 months, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose, possible cold as his mom has a cold with negative Covid testMedDRA releases: 2024-11 · check-in free text available
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2023-01-30
Dose 3 — Moderna
- 2023-02-10
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2023-02-10
Survey response — 6 months, dose 2, under 3MedDRA: Influenza A virus test positive, Viral rash — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-10
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-02-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-02-15
Survey response — day 14, dose 3, under 3MedDRA: Cough, Croup infectious, SARS-CoV-2 test negative, Viral infection — Feeling: GoodMedDRA releases: 2024-11
- 2023-02-20
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2023-03-01
Survey response — day 28, dose 3, under 3MedDRA: Diarrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-03-08
- 2023-03-14
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2023-05-01
Survey response — 3 months, dose 3, under 3MedDRA: Diarrhoea, Vomiting — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-08-12 | Moderna | No |
| 3 | 2023-01-30 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Rash is baseline d/t eczema and I do not think it is related
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Covid-19 positive- main symptom is cough.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Yesterday - day of shot he did have a fever 100.8
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Likely unrelated rash (full body rash small red dots not raised) likely d/t another virus or change in soap or exposure to cats
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Cold - Covid negative x2
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Runny nose, possible cold as his mom has a cold with negative Covid test
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Viral rash | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Eczema | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release