7RW-13881-24325
2 vaccinations
1 coded response
20 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 953 / CA
- Registered
- 2022-07-17
- Relationship
- Child or adolescent in my care
- Guardian
- 497-10097-61525
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-12
Dose 1 — Moderna
-
2022-07-17
Registered in v-safe
- 2022-07-17
- 2022-07-18
- 2022-07-19
- 2022-07-26
- 2022-08-02
-
2022-08-09
Dose 2 — Moderna
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-16
-
2022-08-23
Survey response — day 14, dose 2, under 3MedDRA: Decreased appetite, Fatigue, Lacrimation increased, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Good · 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: Cold like symptoms- fever, running nose, watery eyes, fatigue, loss of appetite.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-23
Report sent to call center — day 14, 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 · 1 call case(s)
- 2022-08-24
-
2022-08-24
Call successfulCompleted over the phone
- 2022-08-30
- 2022-09-06
- 2022-09-13
- 2022-09-20
- 2022-11-08
- 2023-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-12 | Moderna | No |
| 2 | 2022-08-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-23 | Successful 2022-08-24 |
Completed over the phone |
Free text
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Cold like symptoms- fever, running nose, watery eyes, fatigue, loss of appetite.
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 | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release