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XZB-48650-15515

1 vaccination 1 coded response 13 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
941 / CA
Registered
2022-10-19
Relationship
Child or adolescent in my care
Guardian
FE4-26589-73718
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-18
    Dose 1 — Moderna
    Co-administered: Flu:Hepatitis B:Hib:Pneumonia:Polio:Tetanus
  2. 2022-10-19
    Registered in v-safe
  3. 2022-10-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Poor · Site: Pain, Redness, Swelling/hardness · Fever · Sleepiness, Irritability/crying
    Under 3 check-in
  4. 2022-10-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness, Swelling/hardness · Sleepiness
    Under 3 check-in
  5. 2022-10-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-10-22
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-10-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-10-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-10-25
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-11-01
    Survey response — day 14, dose 1, under 3
    MedDRA: Upper respiratory tract infection — Feeling: Poor · 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: Upper respiratory infection
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-11-01
    Report sent to call center — day 14, 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)
  12. 2022-11-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  13. 2022-11-08
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-11-15
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-11-22
    Health check-in — day 35, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  16. 2022-11-29
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2023-01-17
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-18Moderna Flu:Hepatitis B:Hib:Pneumonia:Polio:Tetanus

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-11-01

Symptoms: Upper respiratory infection

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
SDUpper respiratory tract infection · · ✓

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

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