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WQA-24283-63080

2 vaccinations 4 coded responses 17 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
040 / ME
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
8QQ-84843-73539
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Registered in v-safe
  2. 2022-06-28
    Dose 1 — Moderna
  3. 2022-06-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-07
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-13
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-26
    Survey response — day 28, dose 1, dependent
    MedDRA: Rash — Feeling: Good
    Free text: Rash on face, arms, and back
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-28
    Dose 2 — Moderna
  13. 2022-08-06
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  14. 2022-08-06
    Report sent to call center — day 7, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-08-08
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  16. 2022-08-11
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-08-18
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-08-25
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-09-01
    Survey response — day 35, dose 2, dependent
    MedDRA: Productive cough — Feeling: Fair · Be unable to work or attend school
    Free text: Phlemy cough
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-09-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-10-27
    Survey response — 3 months, dose 2, dependent
    MedDRA: Conjunctivitis, Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Conjunctivitis, fever, cough, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  22. 2023-01-26
    Survey response — 6 months, dose 2, dependent
    MedDRA: Fatigue — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-28Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 28, dose 1, dependent

2022-07-26

Symptoms: Rash on face, arms, and back

Release 12 — day 35, dose 2, dependent

2022-09-01

Symptoms: Phlemy cough

Release 12 — 3 months, dose 2, dependent

2022-10-27

Symptoms: Conjunctivitis, fever, cough, runny nose

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
SDConjunctivitis · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRhinorrhoea · · ✓

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