65D-32476-25865
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-07-18
- Relationship
- Child or adolescent in my care
- Guardian
- 2QK-30806-72035
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-18
Registered in v-safe
-
2022-07-18
Dose 1 — Moderna
- 2022-07-18
- 2022-07-19
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-25
- 2022-08-01
-
2022-08-08
Survey response — day 21, dose 1, under 3MedDRA: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Currently has a cold with runny nose and vomited once; COVID PCR negative today.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-08
Report sent to call center — day 21, dose 1, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-09
-
2022-08-15
Dose 2 — Moderna
- 2022-08-15
-
2022-08-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
-
2022-09-19
Survey response — day 35, dose 2, under 3MedDRA: Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Currently has a cold, tested negative this morning for COVID, flu, and RSV on PCRMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
-
2022-11-14
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny nose, cough - he got a cold about 3 weeks ago but thankfully was COVID negativeMedDRA releases: 2024-11 · check-in free text available
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-18 | Moderna | No |
| 2 | 2022-08-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-08 | Successful 2022-08-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Currently has a cold with runny nose and vomited once; COVID PCR negative today.
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Currently has a cold, tested negative this morning for COVID, flu, and RSV on PCR
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Runny nose, cough - he got a cold about 3 weeks ago but thankfully was COVID negative
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 | Cough | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release