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V9E-80051-05924

3 vaccinations 2 coded responses 28 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
554 / MN
Registered
2022-09-03
Relationship
Child or adolescent in my care
Guardian
HPX-11240-48642
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-09-02
    Dose 1 — Moderna
  2. 2022-09-03
    Registered in v-safe
  3. 2022-09-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-09-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-09-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-09-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-09-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-09-09
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-09-16
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-09-23
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-30
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-10-04
    Dose 2 — Moderna
  13. 2022-10-04
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-10-05
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Fatigue — Feeling: Good
    Free text: Just seems a little more tired than normal
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-10-06
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-10-07
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-10-08
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-10-09
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-10-10
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-10-11
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2022-10-18
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-25
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-11-01
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-11-08
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-11-15
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2023-01-03
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2023-02-23
    Dose 3 — Moderna
    Co-administered: Chickenpox:Hepatitis A:Hib:MMR:Other
  28. 2023-03-21
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  29. 2023-03-23
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-03-30
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-04-06
    Survey response — day 42, dose 3, under 3
    MedDRA: Nasal congestion, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  32. 2023-04-06
    Report sent to call center — day 42, dose 3, under 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  33. 2023-04-07
  34. 2023-04-18
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  35. 2023-05-25
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-09-02Moderna No
22022-10-04Moderna No
32023-02-23Moderna Chickenpox:Hepatitis A:Hib:MMR:Other

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-10-05

Systemic reaction (other): Just seems a little more tired than normal

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
SDNasal congestion · · ✓
SDRash · · ✓
SROFatigue · · ✓

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

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