Z5L-89880-73613

3 vaccinations 10 coded responses 30 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 0-4
ZIP prefix: 209 / MD
Registered: 2022-06-25

Relationship: Child or adolescent in my care
Guardian: A4R-24146-85585
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-25
Registered in v-safe
2022-06-25
Dose 1 — Moderna
2022-06-25
Survey response — day 0, dose 1, dependent
MedDRA: Irritability — Feeling: Good · Site: Pain

Free text: Some irritability

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

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
2022-07-02
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-09
Survey response — day 14, dose 1, dependent
MedDRA: Dysphonia, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: Mild upper respiratory symptoms (no COVID), scratchy voice and mild sniffles

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-23
Dose 2 — Moderna
2022-07-23
Health check-in — day 0, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-07-24
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Irritability — Feeling: Good · Site: Pain

Free text: Some irritability

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Irritability — Feeling: Good

Free text: Some irritability

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-07-28
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-07-30
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-06
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-13
Survey response — day 21, dose 2, dependent
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Sniffles

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-27
Survey response — day 35, dose 2, dependent
MedDRA: Conjunctivitis, Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection and conjunctivitis

MedDRA releases: 2024-11 · check-in free text available
2022-08-27
Report sent to call center — day 35, dose 2, dependent
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-29
Call 1 — Could Not Reach Participant
2022-09-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-03
Survey response — day 42, dose 2, dependent
MedDRA: Pyrexia, Rash, Respiratory symptom — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, rash and mild respiratory symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2023-01-11
Dose 3 — Moderna
Co-administered: MMR:Polio:Tetanus
2023-01-21
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2023-01-21
Survey response — day 7, dose 3, dependent
MedDRA: Decreased appetite, Headache, Malaise, Pyrexia — Feeling: Good

MedDRA releases: 2024-11
2023-01-25
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-01
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-08
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-15
Survey response — day 35, dose 3, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Good

MedDRA releases: 2024-11
2023-02-22
Survey response — day 42, dose 3, dependent
MedDRA: Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-14
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-25	Moderna	No
2	2022-07-23	Moderna	No
3	2023-01-11	Moderna	MMR:Polio:Tetanus

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 0, dose 1, dependent

2022-06-25

Systemic reaction (other): Some irritability

Release 12 — day 14, dose 1, dependent

2022-07-09

Symptoms: Mild upper respiratory symptoms (no COVID), scratchy voice and mild sniffles

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

2022-07-24

Systemic reaction (other): Some irritability

2022-07-25

Systemic reaction (other): Some irritability

Release 12 — day 21, dose 2, dependent

2022-08-13

Symptoms: Sniffles

Release 12 — day 35, dose 2, dependent

2022-08-27

Symptoms: Ear infection and conjunctivitis

Release 12 — day 42, dose 2, dependent

2022-09-03

Symptoms: Fever, rash and mild respiratory symptoms

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	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Ear infection	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Headache	·	·	✓
SRO	Irritability	·	·	✓
SRO	Malaise	·	·	✓
SRO	Pyrexia	·	·	✓

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