XTL-17738-54666

3 vaccinations 6 coded responses 40 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 910 / CA
Registered: 2022-06-24

Relationship: Child or adolescent in my care
Guardian: 6VP-61598-78489
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-24
Registered in v-safe
2022-06-24
Dose 1 — Moderna
2022-06-24
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-01
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-08
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 35, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-05
Health check-in — day 42, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-08
Dose 2 — Moderna
2022-08-08
Health check-in — day 0, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2022-08-10
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Crying, Irritability, Mood altered — Feeling: Fair · Fatigue or tiredness

Free text: Crankiness, moodiness, crying

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-12
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Irritability — Feeling: Good · Fatigue or tiredness

Free text: Crankiness

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Insomnia, Sleep disorder — Feeling: Good

Free text: Difficulty sleeping, sleep disturbances

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-15
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-22
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-05
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-12
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-19
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-11-07
Health check-in — 3 months, dose 2, dependent
Feeling: Fair

Adult check-in
2022-12-13
Dose 3 — Moderna
2022-12-13
Health check-in — day 0, dose 3, dependent
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-12-14
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Aggression, Irritability — Feeling: Fair · Site: Redness, Swelling · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Crankiness & aggression

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Abnormal faeces — Feeling: Good · Site: Redness · Abdominal pain

Free text: Foul smelling stool

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Abnormal faeces, Hyperchlorhydria, Skin irritation — Feeling: Good · Abdominal pain

Free text: Acid, foul smelling stool causing skin irritation

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Vomiting

Adult check-in
2022-12-20
Health check-in — day 7, dose 3, dependent
Feeling: Good · Diarrhea

Adult check-in
2022-12-27
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-03
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-10
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-17
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-24
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-06-13
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-24	Moderna	No
2	2022-08-08	Moderna	No
3	2022-12-13	Moderna	No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-10

Systemic reaction (other): Crankiness, moodiness, crying

2022-08-12

Systemic reaction (other): Crankiness

2022-08-13

Systemic reaction (other): Difficulty sleeping, sleep disturbances

Release 12 — days 1–6 daily, dose 3, dependent

2022-12-14

Systemic reaction (other): Crankiness & aggression

2022-12-15

Systemic reaction (other): Foul smelling stool

2022-12-16

Systemic reaction (other): Acid, foul smelling stool causing skin irritation

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
SRO	Abnormal faeces	·	·	✓
SRO	Aggression	·	·	✓
SRO	Crying	·	·	✓
SRO	Hyperchlorhydria	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Irritability	·	·	✓
SRO	Mood altered	·	·	✓
SRO	Skin irritation	·	·	✓
SRO	Sleep disorder	·	·	✓

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