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YWU-23775-77388

1 vaccination 3 coded responses 13 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
BY2-11298-03017
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Dose 1 — Moderna
  2. 2022-06-23
    Registered in v-safe
  3. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  4. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-20
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-29
    Survey response — day 35, dose 1, under 3
    MedDRA: Rash — Feeling: Good
    Free text: Rash
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-08-03
    Survey response — day 42, dose 1, under 3
    MedDRA: Urticaria — Feeling: Good
    Free text: Hives
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-09-21
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-12-23
    Survey response — 6 months, dose 1, under 3
    MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Colds
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-12-23
    Report sent to call center — 6 months, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  16. 2022-12-27
  17. 2022-12-30
  18. 2022-12-30
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2023-06-24
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2022-07-29

Symptoms: Rash

Release 12 (Under 3) — day 42, dose 1, under 3

2022-08-03

Symptoms: Hives

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

2022-12-23

Symptoms: Colds

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
SDNasopharyngitis · · ✓
SDRash · · ✓
SDUrticaria · · ✓

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

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