86S-36132-85644
3 vaccinations
2 coded responses
24 check-ins
1 free-text entry
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 370 / TN
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 844-18243-58484
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
-
2022-08-23
Survey response — day 35, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Cold- fever, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-30
- 2022-10-18
- 2023-01-17
-
2023-02-17
Dose 3 — Pfizer-BioNTech
-
2023-02-19
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Poor · Fever · Irritability/crying, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationUnder 3 check-in
-
2023-02-19
Report sent to call center — days 1–6 daily, dose 3, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-02-20
-
2023-02-21
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-02-22
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Fever · Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2023-02-22
Report sent to call center — days 1–6 daily, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-23
- 2023-02-23
- 2023-02-23
-
2023-02-23
Call successfulParticipant prefers to complete VAERS report online
-
2023-02-23
Call successfulParticipant prefers to complete VAERS report online
- 2023-03-26
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
| 3 | 2023-02-17 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Cold- fever, runny nose, cough
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release