7KF-10679-21250
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 921 / CA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 4YX-15215-02585
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2022-06-20
Dose 1 — Moderna
-
2022-06-22
Registered in v-safe
-
2022-06-22
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
- 2022-06-23
-
2022-06-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Survey response — day 7, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Good · Fever · 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, rhinorrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — day 7, dose 1, dependentBe 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)
-
2022-06-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-07-06
- 2022-07-11
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-29 | Successful 2022-06-30 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Cough, rhinorrhea
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 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release