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S27-10166-31092

1 vaccination 2 coded responses 8 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
017 / MA
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
S9T-13326-85713
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Moderna
    Co-administered: Chickenpox:MMR:Pneumonia
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-26
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-08-04
    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. 2022-12-27
    Survey response — 6 months, dose 1, under 3
    MedDRA: Nasopharyngitis — 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: Cold, not COVID RSV or flu
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-12-27
    Report sent to call center — 6 months, dose 1, 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)
  11. 2022-12-28
  12. 2023-06-28
    Survey response — 12 months, dose 1, under 3
    MedDRA: Ear infection, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna Chickenpox:MMR:Pneumonia

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — 6 months, dose 1, under 3

2022-12-27

Symptoms: Cold, not COVID RSV or flu

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
SDEar infection · · ✓
SDNasopharyngitis · · ✓

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