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XKV-14834-88276

2 vaccinations 2 coded responses 12 check-ins 0 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
223 / VA
Registered
2023-03-22
Relationship
Child or adolescent in my care
Guardian
TKL-28968-55979
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2023-03-07
    Dose 1 — Moderna
    Co-administered: Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
  2. 2023-03-22
    Registered in v-safe
  3. 2023-03-22
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  4. 2023-03-28
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2023-04-04
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2023-04-11
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2023-04-13
    Dose 2 — Moderna
    Co-administered: Flu
  8. 2023-04-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2023-04-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2023-04-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2023-04-20
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2023-04-27
    Survey response — day 14, dose 2, under 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Teething — Feeling: Fair
    MedDRA releases: 2024-11
  13. 2023-05-04
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-05-13
    Survey response — day 28, dose 2, under 3
    MedDRA: Upper respiratory tract infection, Viral rash — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  15. 2023-05-13
    Report sent to call center — day 28, dose 2, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2023-05-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  17. 2023-05-18
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12023-03-07Moderna Flu:Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
22023-04-13Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

None.

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
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTeething · · ✓
SDUpper respiratory tract infection · · ✓
SDViral rash · · ✓

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