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TRK-31653-85235

3 vaccinations 3 coded responses 30 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
554 / MN
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
WP9-96322-76628
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Registered in v-safe
  2. 2022-06-30
    Dose 1 — Moderna
  3. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  7. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  8. 2022-07-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  9. 2022-07-07
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  10. 2022-07-14
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-21
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-28
    Dose 2 — Moderna
  13. 2022-07-28
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  18. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-04
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-11
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-19
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-25
    Survey response — day 28, dose 2, under 3
    MedDRA: Pyrexia — Feeling: Good
    Free text: One day of a fever of 100.4. No other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-09-01
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-09-08
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-10-27
    Survey response — 3 months, dose 2, under 3
    MedDRA: Cough, Respiratory tract congestion, Vomiting — Feeling: Good · Be unable to work or attend school
    Free text: Cough, congestion, vomiting at the end of September/ beginning October
    MedDRA releases: 2024-11 · check-in free text available
  27. 2023-01-28
    Survey response — 6 months, dose 2, under 3
    MedDRA: Ear infection, 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
    MedDRA releases: 2024-11
  28. 2023-01-28
    Report sent to call center — 6 months, dose 2, 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)
  29. 2023-01-30
  30. 2023-05-01
    Dose 3 — Moderna
  31. 2023-05-08
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-05-15
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-05-22
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-05-29
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-06-05
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-06-12
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-30Moderna No
22022-07-28Moderna No
32023-05-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-01-28 Unsuccessful

Free text

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

2022-08-25

Symptoms: One day of a fever of 100.4. No other symptoms.

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

2022-10-27

Symptoms: Cough, congestion, vomiting at the end of September/ beginning October

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
SDCough · · ✓
SDEar infection · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDVomiting · · ✓

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

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