R86-84348-97449
2 vaccinations
4 coded responses
12 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2022-07-22
- Relationship
- Child or adolescent in my care
- Guardian
- PWP-53406-65117
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Dose 1 — Moderna
-
2022-07-22
Registered in v-safe
-
2022-07-22
Survey response — day 21, dose 1, under 3MedDRA: Ear infection, Tympanic membrane perforation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection with perforated eardrumMedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Report sent to call center — day 21, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-28
- 2022-08-02
- 2022-08-09
-
2022-08-13
Dose 2 — Moderna
- 2022-08-25
- 2022-08-27
- 2022-09-05
- 2022-09-10
- 2022-09-17
-
2022-09-24
Survey response — day 42, dose 2, under 3MedDRA: Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Mild runny nose. Covid pcr negMedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Survey response — 3 months, dose 2, under 3MedDRA: Viral infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Non Covid viral illness.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-02-11
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-08-13 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Ear infection with perforated eardrum
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Mild runny nose. Covid pcr neg
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Non Covid viral illness.
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 | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tympanic membrane perforation | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release