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SYS-27300-99509

3 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
017 / MA
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
FT2-32732-33954
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
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-02
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-09
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-16
    Survey response — day 21, dose 1, under 3
    MedDRA: Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Fever x3 days (Tmax 39.9 C) with one episode of vomiting. No clear source, covid pcr negative, no other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-16
    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)
  11. 2022-07-18
    Call successful
    Not applicable - Accidental Reporting
  12. 2022-07-23
    Dose 2 — Moderna
  13. 2022-07-30
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-08-06
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-08-13
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-20
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-08-27
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-09-03
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-10-22
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-12-21
    Dose 3 — Moderna
  21. 2023-01-21
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2023-03-23
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  23. 2023-06-21
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-07-23Moderna No
32022-12-21Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-07-16

Symptoms: Fever x3 days (Tmax 39.9 C) with one episode of vomiting. No clear source, covid pcr negative, no other symptoms.

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
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓

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

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