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S69-18811-84886

1 vaccination 2 coded responses 11 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
980 / WA
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
X9C-12580-38569
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-28
    Registered in v-safe
  3. 2022-06-28
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Screaming — Feeling: Good · Fever · Irritability/crying
    Free text: Approx 36 hours after vaccine spent 30 minutes screaming inconsolably
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  7. 2022-07-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying, Vomiting
    Under 3 check-in
  8. 2022-07-09
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-18
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-25
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-30
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-07
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-24
    Survey response — 3 months, dose 1, under 3
    MedDRA: Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cold- including fever, runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No

Free text

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

2022-06-28

Systemic reaction (other): Approx 36 hours after vaccine spent 30 minutes screaming inconsolably

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

2022-09-24

Symptoms: Cold- including fever, runny nose

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
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SROScreaming · · ✓

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