5JR-31465-12463
2 vaccinations
3 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 221 / VA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 7QP-23973-99589
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-07-01
Dose 1 — Moderna
-
2022-09-02
Dose 2 — Moderna
- 2022-09-28
- 2022-09-30
-
2022-10-07
Survey response — day 35, dose 2, under 3MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Stomach acheMedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Report sent to call center — day 35, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-10
-
2022-12-04
Survey response — 3 months, dose 2, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend schoolFree text: RsvMedDRA releases: 2024-11 · check-in free text available
-
2023-03-05
Survey response — 6 months, dose 2, under 3MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-09-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-07 | Unsuccessful |
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Stomach ache
Release 12 (Under 3) — 3 months, dose 2, under 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release