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XM2-26398-75608

1 vaccination 4 coded responses 9 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
381 / TN
Registered
2022-06-30
Relationship
Child or adolescent in my care
Guardian
THS-71869-30406
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
    Co-administered: Hib:Pneumonia
  2. 2022-06-30
    Registered in v-safe
  3. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Pain, Swelling/hardness · Fever · Irritability/crying · Be unable to work or attend school
    Under 3 check-in
  4. 2022-07-03
    Survey response — day 7, dose 1, under 3
    MedDRA: Faeces discoloured — Feeling: Good · Site: Swelling/hardness
    Free text: Black stool
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-15
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-07-22
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-30
    Survey response — day 35, dose 1, under 3
    MedDRA: Conjunctivitis, Ear infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Mild ear infection, bilateral conjunctivitis
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-30
    Report sent to call center — day 35, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-08-01
  11. 2022-08-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  12. 2022-08-05
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-25
    Survey response — 3 months, dose 1, under 3
    MedDRA: Otitis media, Respiratory syncytial virus infection — 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
    Free text: She had RSV and bilateral otitis media.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-09-25
    Report sent to call center — 3 months, dose 1, 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)
  15. 2022-09-26
  16. 2022-12-23
    Survey response — 6 months, dose 1, under 3
    MedDRA: Cough, Diarrhoea, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Rhinorrhea, cough, congestion, diarrhea
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna Hib:Pneumonia

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-03

Systemic reaction (other): Black stool

Release 12 (Under 3) — day 35, dose 1, under 3

2022-07-30

Symptoms: Mild ear infection, bilateral conjunctivitis

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

2022-09-25

Symptoms: She had RSV and bilateral otitis media.

Release 12 (Under 3) — 6 months, dose 1, under 3

2022-12-23

Symptoms: Rhinorrhea, cough, congestion, diarrhea

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 · · ✓
SDDiarrhoea · · ✓
SDEar infection · · ✓
SDOtitis media · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROFaeces discoloured · · ✓

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