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
-
2022-07-26
Dose 1 — Moderna
-
2022-08-27
Dose 2 — Moderna
-
2022-09-17
Registered in v-safe
-
2022-09-17
Survey response — day 21, dose 2, under 3MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolFree 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
-
2022-09-26
Survey response — day 28, dose 2, under 3MedDRA: Irritability, Pain, Restlessness, Self-medication — Feeling: FairFree 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
- 2022-10-03
- 2022-10-10
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2022-11-28
Survey response — 3 months, dose 2, under 3MedDRA: 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 visitFree 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
-
2022-11-28
Report sent to call center — 3 months, dose 2, 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)
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-26 | Moderna | No |
| 2 | 2022-08-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-28 | Unsuccessful |
Free text
Release 12 (Under 3) — day 21, dose 2, under 3
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Irritability | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Restlessness | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release