5NM-69687-30642
3 vaccinations
2 coded responses
38 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 940 / CA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 7ZZ-19699-34246
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-24
Dose 1 — Moderna
- 2022-06-24
-
2022-06-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Dizziness — Feeling: Fair · Fever · HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-07-24
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-04
- 2022-10-21
-
2022-12-17
Dose 3 — Moderna
- 2022-12-17
-
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fever · Chills, Fatigue or tirednessAdult check-in
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
-
2022-12-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Fever · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-12-26
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-01-21
- 2023-01-28
-
2023-03-18
Survey response — 3 month, dose 3, dependentMedDRA: Pneumonia bacterial — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-03-18
Report sent to call center — 3 month, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-18 | Successful 2023-03-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12
Systemic reaction (other): Dizziness
Free-text releases are not linked to a specific 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 | Pneumonia bacterial | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release