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ZS4-17429-79458

3 vaccinations 4 coded responses 30 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
946 / CA
Registered
2022-08-19
Relationship
Child or adolescent in my care
Guardian
5KA-13629-98786
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-19
    Registered in v-safe
  2. 2022-08-19
    Dose 1 — Moderna
    Co-administered: Hepatitis B:Hib:Polio:Tetanus
  3. 2022-08-19
    Health check-in — day 0, dose 1, under 3
    Feeling: Fair · Irritability/crying, Loss of appetite, Vomiting
    Under 3 check-in
  4. 2022-08-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · Diarrhea
    Under 3 check-in
  5. 2022-08-21
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying, Diarrhea
    Under 3 check-in
  6. 2022-08-22
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  7. 2022-08-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  8. 2022-08-26
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  9. 2022-09-02
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-09-09
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-16
    Health check-in — day 28, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  12. 2022-09-19
    Dose 2 — Moderna
  13. 2022-09-19
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · Irritability/crying, Loss of appetite
    Under 3 check-in
  14. 2022-09-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying, Loss of appetite
    Under 3 check-in
  15. 2022-09-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  16. 2022-09-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-09-26
    Survey response — day 7, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-10-05
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-10-10
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-10-17
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-10-24
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-10-31
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-12-19
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2023-02-09
    Dose 3 — Moderna
    Co-administered: Chickenpox:Hib:MMR:Pneumonia
  25. 2023-02-10
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  26. 2023-02-11
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2023-02-13
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Office visit — Feeling: Fair · Fever · Sleepiness, Loss of appetite, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  28. 2023-02-13
    Report sent to call center — days 1–6 daily, 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
    1 call case(s)
  29. 2023-02-14
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11
  30. 2023-02-14
  31. 2023-02-15
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    MedDRA releases: 2024-11
  32. 2023-02-18
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  33. 2023-02-23
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  34. 2023-03-11
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  35. 2023-03-23
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  36. 2023-05-11
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-19Moderna Hepatitis B:Hib:Polio:Tetanus
22022-09-19Moderna No
32023-02-09Moderna Chickenpox:Hib:MMR:Pneumonia

Call center

ReportedOutcomeVAERS-related outcome
2023-02-13 Unsuccessful

Free text

Release 12 (Under 3) — day 7, dose 2, under 3

2022-09-26

Systemic reaction (other): Runny nose

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
HCVOOffice visit · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓

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

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