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VED-29453-36508

3 vaccinations 2 coded responses 10 check-ins 1 free-text entry 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2022-07-13
Relationship
Child or adolescent in my care
Guardian
NF2-12809-91526
Race
N/A
Ethnicity
N/A

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-07-13
    Registered in v-safe
  3. 2022-07-13
    Survey response — day 14, dose 1, under 3
    MedDRA: COVID-19 — Feeling: Fair · 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: Positive for Covid
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-13
    Report sent to call center — day 14, dose 1, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  5. 2022-07-14
  6. 2022-07-14
  7. 2022-07-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  8. 2022-07-15
    Health check-in — day 21, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  9. 2022-07-22
    Dose 2 — Moderna
  10. 2022-08-05
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-08-12
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-19
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-26
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-04
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-10-21
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-01-06
    Dose 3 — Moderna
  17. 2023-01-20
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2023-04-11
    Survey response — 3 months, dose 3, under 3
    MedDRA: Malaise, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  19. 2023-04-11
    Report sent to call center — 3 months, dose 3, under 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2023-04-12
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No
22022-07-22Moderna No
32023-01-06Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

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

2022-07-13

Symptoms: Positive 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
HCVOUnevaluable event · · ✓
SDCOVID-19 · · ✓
SDMalaise · · ✓

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