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V6H-33054-30622

3 vaccinations 11 coded responses 26 check-ins 10 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
190 / PA
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
GGP-14321-95113
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Dose 1 — Moderna
  2. 2022-06-28
    Registered in v-safe
  3. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  4. 2022-06-29
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Gait disturbance, Pain — Feeling: Fair · Site: Redness · Irritability/crying
    Free text: Potential soreness; she is 2 and intermittently did not want to walk throughout the day, said she was in pain
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-30
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Pain in extremity — Feeling: Fair · Irritability/crying
    Free text: Pain in legs
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-02
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Insomnia — Feeling: Good
    Free text: Difficulty sleeping
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-04
    Survey response — day 7, dose 1, under 3
    MedDRA: Cough — Feeling: Good
    Free text: Coughing
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-11
    Survey response — day 14, dose 1, under 3
    MedDRA: Productive cough — Feeling: Good · Be unable to work or attend school
    Free text: Productive cough
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-25
    Dose 2 — Moderna
  13. 2022-07-25
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Site: Pain · None
    Under 3 check-in
  14. 2022-07-26
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Dyspnoea — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heavy breathing
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-28
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Insomnia — Feeling: Good
    Free text: Insomnia
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-07-29
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-08-01
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-08-08
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-08-15
    Survey response — day 21, dose 2, under 3
    MedDRA: Pharyngitis streptococcal — Feeling: Good · Be unable to work or attend school
    Free text: Strep throat
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-08-22
    Survey response — day 28, dose 2, under 3
    MedDRA: Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend school
    Free text: Strep throat
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-08-29
    Survey response — day 35, dose 2, under 3
    MedDRA: Ear infection — 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: Ear infection
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-08-29
    Report sent to call center — day 35, 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)
  26. 2022-08-30
  27. 2022-09-05
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  28. 2022-09-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  29. 2022-10-24
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-01-23
    Survey response — 6 months, dose 2, under 3
    MedDRA: Ear infection, Sinusitis, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  31. 2023-01-23
    Report sent to call center — 6 months, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2023-01-24
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  33. 2023-02-03
    Dose 3 — Moderna
  34. 2023-03-22
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-05-05
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No
22022-07-25Moderna No
32023-02-03Moderna 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

2022-06-29

Systemic reaction (other): Potential soreness; she is 2 and intermittently did not want to walk throughout the day, said she was in pain

2022-06-30

Systemic reaction (other): Pain in legs

2022-07-02

Systemic reaction (other): Difficulty sleeping

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-04

Systemic reaction (other): Coughing

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-11

Symptoms: Productive cough

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-26

Systemic reaction (other): Heavy breathing

2022-07-28

Systemic reaction (other): Insomnia

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

2022-08-15

Symptoms: Strep throat

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

2022-08-22

Symptoms: Strep throat

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

2022-08-29

Symptoms: Ear infection

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
SDEar infection · · ✓
SDPharyngitis streptococcal · · ✓
SDProductive cough · · ✓
SDSinusitis · · ✓
SDViral infection · · ✓
SROCough · · ✓
SRODyspnoea · · ✓
SROGait disturbance · · ✓
SROInsomnia · · ✓
SROPain · · ✓
SROPain in extremity · · ✓

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