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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

  1. 2022-06-28
    Dose 1 — Moderna
  2. 2022-07-22
    Registered in v-safe
  3. 2022-07-22
    Survey response — day 21, dose 1, under 3
    MedDRA: Ear infection, Tympanic membrane perforation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection with perforated eardrum
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-22
    Report sent to call center — day 21, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  5. 2022-07-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  6. 2022-07-28
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-08-02
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-08-09
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-08-13
    Dose 2 — Moderna
  10. 2022-08-25
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-27
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-05
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-10
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-17
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-24
    Survey response — day 42, dose 2, under 3
    MedDRA: Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free text: Mild runny nose. Covid pcr neg
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-11-14
    Survey response — 3 months, dose 2, under 3
    MedDRA: 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 visit
    Free text: Non Covid viral illness.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-11-14
    Report sent to call center — 3 months, dose 2, 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)
  18. 2022-11-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2023-02-11
    Survey response — 6 months, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-08-13Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-22

Symptoms: Ear infection with perforated eardrum

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-24

Symptoms: Mild runny nose. Covid pcr neg

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-11-14

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDEar infection · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTympanic membrane perforation · · ✓
SDViral infection · · ✓

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