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WKN-17528-21604

3 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
936 / CA
Registered
2022-06-20
Relationship
Child or adolescent in my care
Guardian
38Y-14009-08690
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-20
    Registered in v-safe
  2. 2022-06-22
    Dose 1 — Moderna
  3. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-06-29
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-06
    Survey response — day 14, dose 1, dependent
    MedDRA: Injection site erythema, Injection site induration, Injection site swelling — Feeling: Good
    Free text: Red hard bump at injection site 6/30-7/1
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-13
    Survey response — day 21, dose 1, dependent
    MedDRA: Abdominal pain upper, Decreased appetite, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Mild fever, stomach pain, no appetite
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-20
    Dose 2 — Moderna
  12. 2022-07-20
    Survey response — day 0, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness
    Free text: Runny nose and cough
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-21
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Injection site induration — Feeling: Good · Site: Pain
    Free text: Hardness at injection site
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-22
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Injection site mass — Feeling: Good
    Free text: Lump at injection site
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  16. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-07-29
    Survey response — day 7, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-05
    Survey response — day 14, dose 2, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough, runny nose, congestion
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-12
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-08-17
    Survey response — day 28, dose 2, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school
    Free text: Coughing, runny nose, congestion
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-24
    Survey response — day 35, dose 2, dependent
    MedDRA: Ear infection, Respiratory tract congestion, Rhinorrhoea, Secretion discharge, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Runny nose, congestion, throwing up mucus, ear infection
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-09-02
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-10-21
    Survey response — 3 months, dose 2, dependent
    MedDRA: Abdominal pain upper, Aphonia, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Fever, runny nose, coughing, congestion, lost her voice, sore throat, stomach pain.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-21
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-10-24
  27. 2023-01-22
  28. 2023-02-06
    Dose 3 — Moderna
  29. 2023-03-23
    Health check-in — day 42, dose 3, dependent
    Feeling: Fair
    Adult check-in
  30. 2023-05-10

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No
32023-02-06Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — day 14, dose 1, dependent

2022-07-06

Symptoms: Red hard bump at injection site 6/30-7/1

Release 12 — day 21, dose 1, dependent

2022-07-13

Symptoms: Mild fever, stomach pain, no appetite

Release 12 — day 0, dose 2, dependent

2022-07-20

Systemic reaction (other): Runny nose and cough

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-21

Systemic reaction (other): Hardness at injection site

2022-07-22

Systemic reaction (other): Lump at injection site

Release 12 — day 7, dose 2, dependent

2022-07-29

Systemic reaction (other): Runny nose

Release 12 — day 14, dose 2, dependent

2022-08-05

Symptoms: Cough, runny nose, congestion

Release 12 — day 28, dose 2, dependent

2022-08-17

Symptoms: Coughing, runny nose, congestion

Release 12 — day 35, dose 2, dependent

2022-08-24

Symptoms: Runny nose, congestion, throwing up mucus, ear infection

Release 12 — 3 months, dose 2, dependent

2022-10-21

Symptoms: Fever, runny nose, coughing, congestion, lost her voice, sore throat, stomach pain.

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
SDAbdominal pain upper · · ✓
SDAphonia · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDEar infection · · ✓
SDInjection site erythema · · ✓
SDInjection site induration · · ✓
SDInjection site swelling · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSecretion discharge · · ✓
SDVomiting · · ✓
SROCough · · ✓
SROInjection site induration · · ✓
SROInjection site mass · · ✓
SRORhinorrhoea · · ✓

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