YDX-22286-36016

3 vaccinations 4 coded responses 24 check-ins 3 free-text entries 4 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 303 / GA
Registered: 2022-06-30

Relationship: Child or adolescent in my care
Guardian: HE5-21130-98559
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-30
Registered in v-safe
2022-06-30
Dose 1 — Moderna
2022-06-30
Health check-in — day 0, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite

Under 3 check-in
2022-07-04
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Irritability/crying, Loss of appetite

Under 3 check-in
2022-07-05
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Irritability/crying, Loss of appetite

Under 3 check-in
2022-07-06
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Ear infection — Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection (dx) not related to vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — days 1–6 daily, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-07
Health check-in — day 7, dose 1, under 3
Feeling: Fair · None

Under 3 check-in
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-21
Survey response — day 21, dose 1, under 3
MedDRA: Ear infection, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection and fever.

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — day 21, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-22
Call 1 — Left Voicemail
2022-07-22
Call 1 — Left Voicemail
2022-07-28
Health check-in — day 28, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-08-02
Dose 2 — Moderna
2022-08-04
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite

Under 3 check-in
2022-08-05
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-06
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-07
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-08
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-09
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-16
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-23
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-30
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-06
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-13
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-11-01
Survey response — 3 months, dose 2, under 3
MedDRA: Emergency care, Fall, Pyrexia, Respiratory tract congestion — 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, Emergency room or emergency department visit

Free text: High fever, congestion. Also had an ER visit due to a fall (non COVID related)

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — 3 months, dose 2, 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 · Emergency room or emergency department visit · 1 call case(s)
2022-11-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-09
Dose 3 — Moderna
2023-01-31
Health check-in — 6 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-04-10
Survey response — 3 months, dose 3, under 3
MedDRA: Pyrexia, SARS-CoV-2 test negative, Viral 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

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 3 months, dose 3, 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)
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-30	Moderna	No
2	2022-08-02	Moderna	No
3	2023-01-09	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-07-06

Systemic reaction (other): Ear infection (dx) not related to vaccine

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

2022-07-21

Symptoms: Ear infection and fever.

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

2022-11-01

Symptoms: High fever, congestion. Also had an ER visit due to a fall (non COVID related)

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	Emergency care	·	·	✓
SD	Fall	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Ear infection	·	·	✓

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