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U2D-86299-03357

3 vaccinations 4 coded responses 26 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
601 / IL
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
RKS-15108-39217
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-07-29
    Dose 1 — Moderna
  3. 2022-08-26
    Dose 2 — Moderna
  4. 2022-08-28
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Site: Redness · None
    Under 3 check-in
  5. 2022-08-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-08-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-09-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-09-02
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-09-09
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-09-16
    Survey response — day 21, dose 2, under 3
    MedDRA: Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Fever
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-09-16
    Report sent to call center — day 21, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-09-19
  13. 2022-09-22
  14. 2022-09-24
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-30
    Survey response — day 35, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: COVID
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-10-07
    Survey response — day 42, dose 2, under 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: COVID
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-07
    Report sent to call center — day 42, dose 2, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  18. 2022-10-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2022-10-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2022-11-25
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-12-18
    Dose 3 — Moderna
  22. 2022-12-18
    Health check-in — day 0, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2022-12-19
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activities
    Under 3 check-in
  24. 2022-12-20
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2022-12-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  26. 2022-12-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2022-12-23
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2022-12-24
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  29. 2022-12-25
    Health check-in — day 7, dose 3, under 3
    Feeling: Poor · Fever · Irritability/crying · Get care from a doctor or other healthcare professional
    Free text: Fam member pediatrician
    Under 3 check-in · check-in free text available
  30. 2022-12-25
  31. 2022-12-28
  32. 2023-01-01
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-01-08
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-01-15
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-01-22
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-01-29
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2023-03-19
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-06-18
    Survey response — 6 months, dose 3, under 3
    MedDRA: Febrile convulsion — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-07-29Moderna No
22022-08-26Moderna No
32022-12-18Moderna No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-09-16

Symptoms: Fever

Release 12 (Under 3) — day 35, dose 2, under 3

2022-09-30

Symptoms: COVID

Release 12 (Under 3) — day 42, dose 2, under 3

2022-10-07

Symptoms: COVID

Release 12 (Under 3) — day 7, dose 3, under 3

2022-12-25

Healthcare visit (other): Fam member pediatrician

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
SDCOVID-19 · · ✓
SDFebrile convulsion · · ✓
SDPyrexia · · ✓

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

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