84W-22588-47584
2 vaccinations
3 coded responses
19 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 7U9-26017-50859
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-24
Registered in v-safe
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-20
Survey response — day 28, dose 1, dependentMedDRA: Conjunctivitis, Malaise — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pink eye and general malaise!MedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Report sent to call center — day 28, dose 1, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-21
Call successfulCompleted over the phone
- 2022-07-26
-
2022-07-28
Dose 2 — Moderna
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — day 35, dose 2, dependentMedDRA: SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Tested positive for Covid through PCR test administered on 8/25/22. Asymptomatic and two negative antigen testsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-08
- 2022-11-02
-
2023-01-26
Survey response — 6 months, dose 2, dependentMedDRA: Ear infection, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-26
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-20 | Successful 2022-07-21 |
Completed over the phone |
| 2023-01-26 | Unsuccessful |
Free text
Release 12 — day 28, dose 1, dependent
Symptoms: Pink eye and general malaise!
Release 12 — day 35, dose 2, dependent
Symptoms: Tested positive for Covid through PCR test administered on 8/25/22. Asymptomatic and two negative antigen tests
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 | Conjunctivitis | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release