5KG-26789-82996
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- RH2-77586-60427
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
- 2022-06-27
- 2022-07-01
- 2022-07-04
- 2022-07-09
-
2022-07-16
Survey response — day 21, dose 1, dependentMedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
-
2022-07-30
Survey response — day 35, dose 1, dependentMedDRA: Influenza — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: FluMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Report sent to call center — day 35, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-01
-
2022-08-05
Dose 2 — Moderna
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · Fever · Fatigue or tirednessAdult check-in
- 2022-08-07
- 2022-08-08
-
2022-08-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-08-11
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: Runny nose, likely coldMedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Survey response — day 7, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Survey response — day 14, dose 2, dependentMedDRA: Influenza, Nasopharyngitis, Pyrexia, Secretion discharge — Feeling: Poor · Be unable to do your normal daily activitiesFree text: He seems to have caught a cold or flu. He has a low fever since yesterday. Lots of mucus.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-26
- 2022-09-02
- 2022-09-09
-
2022-09-16
Survey response — day 42, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — 3 months, dose 2, dependentMedDRA: Diarrhoea, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Colds, fever once, diarrhea onceMedDRA releases: 2024-11 · check-in free text available
- 2023-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-08-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-30 | Unsuccessful |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Fever
Release 12 — day 35, dose 1, dependent
Symptoms: Flu
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Runny nose, likely cold
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): runny nose
Release 12 — day 14, dose 2, dependent
Symptoms: He seems to have caught a cold or flu. He has a low fever since yesterday. Lots of mucus.
Release 12 — day 42, dose 2, dependent
Symptoms: Runny nose
Release 12 — 3 months, dose 2, dependent
Symptoms: Colds, fever once, diarrhea once
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 | Diarrhoea | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release