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USK-24629-63775

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
441 / OH
Registered
2022-08-10
Relationship
Child or adolescent in my care
Guardian
KM3-51125-09155
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-10
    Registered in v-safe
  2. 2022-08-10
    Dose 1 — Moderna
  3. 2022-08-10
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-08-11
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-08-12
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Sneezing — Feeling: Fair · Irritability/crying, Loss of appetite
    Free text: Sneezing
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-08-13
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Sneezing — Feeling: Fair · Irritability/crying
    Free text: Sneezing
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-08-14
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Rhinorrhoea — Feeling: Fair · Irritability/crying
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-08-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-16
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-17
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-24
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-31
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-07
    Survey response — day 28, dose 1, under 3
    MedDRA: Cough, Medical counselling, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Poor
    Free text: He has a low grade fever, congestion, sneezing/coughing. We have not tested if it's Covid given his age and symptoms are mild overall. But pediatrician pushed back 2nd Covid shot due to it.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-09-14
    Dose 2 — Moderna
  15. 2022-09-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Loss of appetite
    Under 3 check-in
  16. 2022-09-18
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-09-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-09-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-09-21
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-09-28
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-10-05
    Survey response — day 21, dose 2, under 3
    MedDRA: Diarrhoea, Ear infection, Gastroenteritis viral, Office visit, Pyrexia, SARS-CoV-2 test negative — 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
    Free text: He had an ear infection with fever and a stomach virus (diarrhea). He was tested for Covid at his sick visit and it was negative.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-05
    Report sent to call center — day 21, 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)
  23. 2022-10-06
  24. 2022-10-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  25. 2022-10-12
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-10-19
    Survey response — day 35, dose 2, under 3
    MedDRA: Cough, Respiratory symptom, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Mild upper respiratory symptoms (coughing, sneezing, runny nose)
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-10-26
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-12-14
    Survey response — 3 months, dose 2, under 3
    MedDRA: Ear infection, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: He has likely RSV which has resulted in another ear infection. This was diagnosed today. We did not test for Covid though.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-12-14
    Report sent to call center — 3 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)
  30. 2022-12-15
  31. 2022-12-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  32. 2023-03-15
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-10Moderna No
22022-09-14Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

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

2022-08-12

Systemic reaction (other): Sneezing

2022-08-13

Systemic reaction (other): Sneezing

2022-08-14

Systemic reaction (other): Runny nose

Release 12 (Under 3) — day 28, dose 1, under 3

2022-09-07

Symptoms: He has a low grade fever, congestion, sneezing/coughing. We have not tested if it's Covid given his age and symptoms are mild overall. But pediatrician pushed back 2nd Covid shot due to it.

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

2022-10-05

Symptoms: He had an ear infection with fever and a stomach virus (diarrhea). He was tested for Covid at his sick visit and it was negative.

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

2022-10-19

Symptoms: Mild upper respiratory symptoms (coughing, sneezing, runny nose)

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

2022-12-14

Symptoms: He has likely RSV which has resulted in another ear infection. This was diagnosed today. We did not test for Covid though.

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 · · ✓
SDDiarrhoea · · ✓
SDEar infection · · ✓
SDGastroenteritis viral · · ✓
SDMedical counselling · · ✓
SDOffice visit · · ✓
SDPyrexia · · ✓
SDRespiratory symptom · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SRORhinorrhoea · · ✓
SROSneezing · · ✓

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