8DS-40482-30536
3 vaccinations
7 coded responses
29 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 191 / PA
- Registered
- 2022-07-19
- Relationship
- Child or adolescent in my care
- Guardian
- XQ6-77824-37177
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-19
Registered in v-safe
-
2022-07-19
Dose 1 — Moderna
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
-
2022-08-09
Survey response — day 21, dose 1, under 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: She has a cold with a cough and runny nose. She has been tested for COVID and was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Dose 2 — Moderna
- 2022-08-16
-
2022-08-17
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Irritability/cryingFree text: Runny nose and cough but that's been happening for a bit. Seems worse today.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Eye discharge, Respiratory syncytial virus infection, Rhinorrhoea — Feeling: Fair · Irritability/cryingFree text: Still having a cough and new eye goop and runny nose. Again, may just be this continued RSV that she's been having.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-20
- 2022-08-21
-
2022-08-23
Survey response — day 7, dose 2, under 3MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-30
- 2022-09-06
- 2022-09-20
- 2022-09-27
-
2022-11-15
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: She's has a few colds but has not had COVIDMedDRA releases: 2024-11 · check-in free text available
-
2023-01-30
Dose 3 — Moderna
- 2023-02-14
- 2023-02-14
-
2023-02-20
Survey response — day 21, dose 3, under 3MedDRA: Cough, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
-
2023-02-27
Survey response — day 28, dose 3, under 3MedDRA: Ear infection — Feeling: Fair · 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
-
2023-02-27
Report sent to call center — day 28, dose 3, under 3Be 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)
- 2023-02-28
- 2023-03-06
- 2023-03-13
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-19 | Moderna | No |
| 2 | 2022-08-16 | Moderna | No |
| 3 | 2023-01-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-27 | Unsuccessful |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: She has a cold with a cough and runny nose. She has been tested for COVID and was negative.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Runny nose and cough but that's been happening for a bit. Seems worse today.
Systemic reaction (other): Still having a cough and new eye goop and runny nose. Again, may just be this continued RSV that she's been having.
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Cough
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: She's has a few colds but has not had COVID
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Eye discharge | · | · | ✓ |
| SRO | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release