2Z6-96252-27230
1 vaccination
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 460 / IN
- Registered
- 2022-11-10
- Relationship
- Child or adolescent in my care
- Guardian
- 4C2-21629-61613
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-08
Dose 1 — Moderna
-
2022-11-10
Registered in v-safe
-
2022-11-10
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-11-11
- 2022-11-12
- 2022-11-14
- 2022-11-15
- 2022-11-22
-
2022-12-06
Survey response — day 28, dose 1, under 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold with cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Report sent to call center — day 28, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-07
-
2022-12-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-02-07
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-06 | Successful 2022-12-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Cold with cough and congestion
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release