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8XV-17358-98198

2 vaccinations 3 coded responses 5 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
065 / CT
Registered
2022-09-17
Relationship
Child or adolescent in my care
Guardian
79N-23659-19116
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-26
    Dose 1 — Moderna
  2. 2022-08-27
    Dose 2 — Moderna
  3. 2022-09-17
    Registered in v-safe
  4. 2022-09-17
    Survey response — day 21, dose 2, under 3
    MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: (b)(6) experienced an intermittent fever for 10 days after her second vaccination. Highest was 102.8 and that was 2 days after vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-09-26
    Survey response — day 28, dose 2, under 3
    MedDRA: Irritability, Pain, Restlessness, Self-medication — Feeling: Fair
    Free text: General pain fussiness not relating to teeth. Better with ibuprofen. Restlessness during times she would ordinarily sleep.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-10-03
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-10-10
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-11-28
    Survey response — 3 months, dose 2, under 3
    MedDRA: Pyrexia — Feeling: Poor · 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 visit
    Free text: Not sure if this is related but this is her second stint of 5+ days of high fever.... the first time it lasted 10 days, fever was at times above 104.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-28
    Report sent to call center — 3 months, dose 2, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-11-29

Vaccinations

DoseDateManufacturerCo-administered
12022-07-26Moderna No
22022-08-27Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-28 Unsuccessful

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-09-17

Symptoms: (b)(6) experienced an intermittent fever for 10 days after her second vaccination. Highest was 102.8 and that was 2 days after vaccination.
redacted (b)(6)

Release 12 (Under 3) — day 28, dose 2, under 3

2022-09-26

Symptoms: General pain fussiness not relating to teeth. Better with ibuprofen. Restlessness during times she would ordinarily sleep.

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-11-28

Symptoms: Not sure if this is related but this is her second stint of 5+ days of high fever.... the first time it lasted 10 days, fever was at times above 104.

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

FieldPreferred term2021-092023-042024-11
SDIrritability · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRestlessness · · ✓
SDSelf-medication · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release