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XKR-11485-02356

2 vaccinations 3 coded responses 14 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
605 / IL
Registered
2022-07-13
Relationship
Child or adolescent in my care
Guardian
YZN-21709-44515
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-13
    Registered in v-safe
  2. 2022-08-04
    Dose 1 — Moderna
  3. 2022-08-04
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-08-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  5. 2022-08-06
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Irritability/crying
    Under 3 check-in
  6. 2022-08-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-08-11
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-08-18
    Survey response — day 14, dose 1, under 3
    MedDRA: Conjunctivitis viral, Ocular hyperaemia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Right eye is red since Sunday. Got worse but is getting ether now. Dr says viral conjunctivitis. My son and I have Covid symptoms and positive tests at the same time but her test was negative
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-08-18
    Report sent to call center — day 14, dose 1, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  13. 2022-08-19
  14. 2022-08-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  15. 2022-08-25
    Health check-in — day 21, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  16. 2022-09-08
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-11-05
    Survey response — 3 months, dose 1, under 3
    MedDRA: Cough, Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion, Wheezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: RSV. Fevers for 5 days, congestion, wheezing cough
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-11-05
    Report sent to call center — 3 months, dose 1, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-11-07
  20. 2022-12-08
    Dose 2 — Moderna
  21. 2023-03-14
    Survey response — 3 months, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Poor · Be unable to work or attend school
    MedDRA releases: 2024-11
  22. 2023-06-08
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-04Moderna No
22022-12-08Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-18 Successful
2022-08-19
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-05 Unsuccessful

Free text

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

2022-08-18

Symptoms: Right eye is red since Sunday. Got worse but is getting ether now. Dr says viral conjunctivitis. My son and I have Covid symptoms and positive tests at the same time but her test was negative

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-11-05

Symptoms: RSV. Fevers for 5 days, congestion, wheezing cough

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 viral · · ✓
SDCough · · ✓
SDOcular hyperaemia · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDWheezing · · ✓

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