7DM-57118-20811
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 652 / MO
- Registered
- 2022-10-19
- Relationship
- Child or adolescent in my care
- Guardian
- YQF-27940-47997
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-19
Registered in v-safe
-
2022-10-19
Dose 1 — ModernaCo-administered: Flu
- 2022-10-19
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-26
-
2022-11-02
Survey response — day 14, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Cough & runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
-
2022-11-16
Survey response — day 28, dose 1, under 3MedDRA: Cough, Diarrhoea, Nasal congestion, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, nasal congestion, fever, diarrhea, vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-17
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-19 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-16 | Successful 2022-11-17 |
Not applicable - Accidental Reporting |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Cough & runny nose
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Cough, nasal congestion, fever, diarrhea, vomiting
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 | Diarrhoea | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release