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ZLA-26687-72914

2 vaccinations 3 coded responses 19 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
786 / TX
Registered
2022-07-12
Relationship
Child or adolescent in my care
Guardian
LL2-20048-63188
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-07-07
    Dose 1 — Moderna
  2. 2022-07-12
    Registered in v-safe
  3. 2022-07-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2022-07-14
    Health check-in — day 7, dose 1, dependent
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work or attend school
    Adult check-in
  6. 2022-07-21
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-28
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-08-04
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-08-10
    Dose 2 — Moderna
  10. 2022-08-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  11. 2022-08-12
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-08-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-15
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-08-16
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-19
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-08-26
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-08-31
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-09-07
    Survey response — day 28, dose 2, dependent
    MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Poor · 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: Diarrhea, stomache
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-09-07
    Report sent to call center — day 28, 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)
  21. 2022-09-08
  22. 2022-09-16
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-11-09
    Survey response — 3 months, dose 2, dependent
    MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Rsv
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-11-09
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  25. 2022-11-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  26. 2022-11-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2023-02-08

Vaccinations

DoseDateManufacturerCo-administered
12022-07-07Moderna No
22022-08-10Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

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

2022-08-12

Systemic reaction (other): Cough

Release 12 — day 28, dose 2, dependent

2022-09-07

Symptoms: Diarrhea, stomache

Release 12 — 3 months, dose 2, dependent

2022-11-09

Symptoms: Rsv

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
SDAbdominal pain upper · · ✓
SDDiarrhoea · · ✓
SDRespiratory syncytial virus infection · · ✓
SROCough · · ✓

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