6UU-99071-01044
2 vaccinations
2 coded responses
17 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2022-12-16
- Relationship
- Child or adolescent in my care
- Guardian
- ZJU-15821-74383
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-12-16
Registered in v-safe
-
2022-12-16
Dose 1 — Moderna
- 2022-12-16
- 2022-12-17
-
2022-12-19
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-12-20
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-12-23
- 2023-01-06
- 2023-01-13
-
2023-01-18
Dose 2 — Moderna
-
2023-01-20
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Poor quality sleep — Feeling: GoodMedDRA releases: 2024-11
-
2023-01-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-01-22
- 2023-01-26
- 2023-02-01
- 2023-02-10
- 2023-02-15
- 2023-02-22
-
2023-03-01
Survey response — day 42, dose 2, under 3MedDRA: Croup infectious, Emergency care, Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-01
Report sent to call center — day 42, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-02
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-12-16 | Moderna | No |
| 2 | 2023-01-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-01 | Unsuccessful |
Free text
None.
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 |
|---|---|---|---|---|
| HCVO | Emergency care | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release