XLV-27339-67279
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 145 / NY
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- J4M-12934-16626
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-09-20
Dose 1 — Moderna
- 2022-09-20
- 2022-09-22
- 2022-09-25
- 2022-09-27
- 2022-10-06
- 2022-10-11
- 2022-10-20
-
2022-10-26
Survey response — day 35, dose 1, under 3MedDRA: Ear infection, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection preventing him from getting 2nd shot Pediatrician recommended not getting 2nd shot until 35 days (instead of 28) which is dumb and I wish we got it at 28 bc on day 34 he got an ear infection so now we have to wait a whole other week ?MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 35, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-28
Dose 2 — Moderna
- 2022-11-01
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-04
- 2022-12-09
-
2023-01-12
Dose 3 — Moderna
- 2023-01-27
- 2023-01-27
- 2023-02-02
- 2023-02-09
- 2023-02-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-20 | Moderna | No |
| 2 | 2022-10-28 | Moderna | No |
| 3 | 2023-01-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Ear infection preventing him from getting 2nd shot Pediatrician recommended not getting 2nd shot until 35 days (instead of 28) which is dumb and I wish we got it at 28 bc on day 34 he got an ear infection so now we have to wait a whole other week ? cut off by CDC
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ear infection | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release