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TC9-20722-71338

3 vaccinations 1 coded response 33 check-ins 0 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
982 / WA
Registered
2022-06-22
Relationship
Child or adolescent in my care
Guardian
USM-20933-58060
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Registered in v-safe
  2. 2022-06-22
    Dose 1 — Moderna
  3. 2022-06-22
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  5. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-06
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-20
    Dose 2 — Moderna
  13. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Pain · Sleepiness, Irritability/crying
    Under 3 check-in
  14. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-07-27
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-03
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-08-10
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-17
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-24
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-31
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-10-20
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2023-01-20
    Survey response — 6 months, dose 2, under 3
    MedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  26. 2023-01-20
    Report sent to call center — 6 months, dose 2, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  27. 2023-01-23
  28. 2023-01-25
    Dose 3 — Moderna
  29. 2023-01-25
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  30. 2023-01-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  31. 2023-01-26
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-01-29
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-01-30
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  34. 2023-02-01
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  35. 2023-02-08
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-02-15
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2023-02-22
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-03-01
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-03-10
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-04-26
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No
32023-01-25Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-01-20 Successful
2023-01-25
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

None.

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
SDAbdominal pain · · ✓

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

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