64C-11946-66380
2 vaccinations
1 coded response
21 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 760 / TX
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- J8K-20627-79123
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-06-28
Dose 1 — Moderna
- 2022-06-30
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-02
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-05
Health check-in — day 7, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationUnder 3 check-in
-
2022-07-05
Report sent to call center — day 7, dose 1, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-12
- 2022-07-19
-
2022-07-26
Dose 2 — Moderna
- 2022-07-26
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · Fever · NoneUnder 3 check-in
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · SleepinessUnder 3 check-in
- 2022-07-29
- 2022-07-30
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Swelling/hardness · Irritability/cryingUnder 3 check-in
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-24
- 2022-08-30
- 2022-09-06
-
2022-10-25
Survey response — 3 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: (b)(6) currently has covidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Report sent to call center — 3 months, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-10-26
Call successfulParticipant prefers to complete VAERS report online
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release