3T7-37917-17240
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 194 / PA
- Registered
- 2022-09-26
- Relationship
- Child or adolescent in my care
- Guardian
- XZX-25658-36377
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-24
Dose 1 — Moderna
-
2022-09-26
Registered in v-safe
-
2022-09-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/crying, Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-09
- 2022-10-15
- 2022-10-22
-
2022-10-27
Dose 2 — Moderna
- 2022-10-29
- 2022-10-30
-
2022-11-01
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
- 2022-11-11
-
2022-11-17
Survey response — day 21, dose 2, under 3MedDRA: Ear infection, Nasopharyngitis, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cold turned into double ear infection. Pediatrician prescribed antibiotics. · Healthcare visit (other): Pediatrician visitMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — day 21, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-11-18
-
2022-11-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-26
- 2022-12-01
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-24 | Moderna | No |
| 2 | 2022-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-17 | Successful 2022-11-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Runny nose
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Cold turned into double ear infection. Pediatrician prescribed antibiotics.
Healthcare visit (other): Pediatrician visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release