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S3W-20824-34888

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
752 / TX
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
RQS-21220-02476
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-25
    Registered in v-safe
  3. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-06
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-22
    Dose 2 — Moderna
  11. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Loss of appetite
    Under 3 check-in
  12. 2022-07-28
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Secretion discharge — Feeling: Fair · Fever · Sleepiness, Irritability/crying
    Free text: Snot
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-29
    Health check-in — day 7, dose 2, under 3
    Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  14. 2022-08-05
    Survey response — day 14, dose 2, under 3
    MedDRA: Ear infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bilateral ear infection
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-08-05
    Report sent to call center — day 14, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-08-08
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  17. 2022-08-12
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-19
    Survey response — day 28, dose 2, under 3
    MedDRA: Ear infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Persistent ear infection that is failing antibiotics (oral and IM injections).
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-19
    Report sent to call center — day 28, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-08-22
  21. 2022-08-22
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  22. 2022-08-26
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-09-02
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-10-21
    Survey response — 3 months, dose 2, under 3
    MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Another ear infection
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-21
    Report sent to call center — 3 months, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-10-24
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2023-01-22
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-22Moderna No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

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

2022-07-28

Systemic reaction (other): Snot

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-05

Symptoms: Bilateral ear infection

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-19

Symptoms: Persistent ear infection that is failing antibiotics (oral and IM injections).

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

2022-10-21

Symptoms: Another ear infection

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 · · ✓
SROSecretion discharge · · ✓

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

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