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V3H-45116-90789

1 vaccination 3 coded responses 14 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
985 / WA
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
59P-11141-25958
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-06-25
    Registered in v-safe
  3. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-28
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Anal incontinence — Feeling: Good
    Free text: Pooped her pants after being potty trained for 6 months.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-01
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-08
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-15
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-22
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-29
    Survey response — day 35, dose 1, dependent
    MedDRA: Diarrhoea, Fatigue, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Throwing up, fever, diarrhea, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-29
    Report sent to call center — day 35, dose 1, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-08-01
  16. 2022-08-01
    Call successful
    Not applicable - Accidental Reporting
  17. 2022-09-25
  18. 2022-12-23
    Survey response — 6 months, dose 1, dependent
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Caught some kind of bad cold. Tested negative for covid.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2023-06-26

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-06-28

Systemic reaction (other): Pooped her pants after being potty trained for 6 months.

Release 12 — day 35, dose 1, dependent

2022-07-29

Symptoms: Throwing up, fever, diarrhea, fatigue.

Release 12 — 6 months, dose 1, dependent

2022-12-23

Symptoms: Caught some kind of bad cold. Tested negative for covid.

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
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓
SROAnal incontinence · · ✓

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