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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

  1. 2022-06-25
    Dose 1 — Moderna
  2. 2022-06-27
    Registered in v-safe
  3. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-09
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-16
    Survey response — day 21, dose 1, dependent
    MedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-23
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-30
    Survey response — day 35, dose 1, dependent
    MedDRA: Influenza — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Flu
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-30
    Report sent to call center — day 35, dose 1, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-08-01
  12. 2022-08-05
    Dose 2 — Moderna
  13. 2022-08-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness
    Adult check-in
  14. 2022-08-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2022-08-11
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, likely cold
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-08-12
    Survey response — day 7, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: runny nose
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-08-19
    Survey response — day 14, dose 2, dependent
    MedDRA: Influenza, Nasopharyngitis, Pyrexia, Secretion discharge — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  20. 2022-08-26
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-09-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-09-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-09-16
    Survey response — day 42, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-11-04
    Survey response — 3 months, dose 2, dependent
    MedDRA: Diarrhoea, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Colds, fever once, diarrhea once
    MedDRA releases: 2024-11 · check-in free text available
  25. 2023-02-03

Vaccinations

DoseDateManufacturerCo-administered
12022-06-25Moderna No
22022-08-05Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-30 Unsuccessful

Free text

Release 12 — day 21, dose 1, dependent

2022-07-16

Symptoms: Fever

Release 12 — day 35, dose 1, dependent

2022-07-30

Symptoms: Flu

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-11

Systemic reaction (other): Runny nose, likely cold

Release 12 — day 7, dose 2, dependent

2022-08-12

Systemic reaction (other): runny nose

Release 12 — day 14, dose 2, dependent

2022-08-19

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

2022-09-16

Symptoms: Runny nose

Release 12 — 3 months, dose 2, dependent

2022-11-04

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDInfluenza · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSecretion discharge · · ✓
SRONasopharyngitis · · ✓
SRORhinorrhoea · · ✓

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