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YCM-64771-70314

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
527 / IA
Registered
2022-07-01
Relationship
Child or adolescent in my care
Guardian
S4A-20997-60365
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-07-01
    Registered in v-safe
  3. 2022-07-01
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-07
    Survey response — day 14, dose 1, under 3
    MedDRA: Exposure to SARS-CoV-2, Pyrexia, Rash, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Fever, rash, exposure to covid but tested negative · Healthcare visit (other): Lab test
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-07-07
    Report sent to call center — day 14, dose 1, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2022-07-08
    Call successful
    Does not wish to fill out VAERS report
  7. 2022-07-15
    Survey response — day 21, dose 1, under 3
    MedDRA: Rash — Feeling: Fair
    Free text: New rash
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-21
    Dose 2 — Moderna
  9. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Site: Swelling/hardness · None
    Under 3 check-in
  10. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Loss of appetite
    Under 3 check-in
  11. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-29
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-08-05
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-08-13
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  17. 2022-08-22
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-25
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-09-01
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-10-22
    Survey response — 3 months, dose 2, under 3
    MedDRA: Upper respiratory tract infection — Feeling: Fair
    Free text: URI
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-21Moderna No

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

2022-07-07

Symptoms: Fever, rash, exposure to covid but tested negative
Healthcare visit (other): Lab test

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-15

Symptoms: New rash

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-22

Symptoms: URI

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
HCVOUnevaluable event · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract infection · · ✓

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