9CU-27711-89179
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 605 / IL
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 8W6-15551-67716
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — Moderna
- 2022-06-30
- 2022-07-01
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-14
- 2022-07-21
-
2022-07-29
Dose 2 — Moderna
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-12
-
2022-08-19
Survey response — day 21, dose 2, dependentMedDRA: Pneumonia, Respiratory tract infection viral — 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: Respiratory virus infection that quickly led to pneumoniaMedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Report sent to call center — day 21, 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)
-
2022-08-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-26
- 2022-09-02
-
2022-09-07
Dose 3 — Moderna
- 2022-09-07
-
2022-09-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Abdominal painAdult check-in
-
2022-09-09
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-09-10
- 2022-09-12
-
2022-09-16
Survey response — day 7, dose 3, dependentMedDRA: No adverse event — Feeling: GoodFree text: No symptoms, but I stopped receiving text reminders.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — day 14, dose 3, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Viral infection — Feeling: FairFree text: Runny nose, congestion, coughing, sneezing, low fever. Another kid sneezed in her face at the playground two days ago, so it's likely a viral infection. Home covid test negative last night, will retest today and tomorrow.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — day 42, dose 3, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: She picked up another cold. Negative at-home covid test; will retest.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
| 3 | 2022-09-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-19 | Successful 2022-08-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Respiratory virus infection that quickly led to pneumonia
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): No symptoms, but I stopped receiving text reminders.
Release 12 — day 14, dose 3, dependent
Symptoms: Runny nose, congestion, coughing, sneezing, low fever. Another kid sneezed in her face at the playground two days ago, so it's likely a viral infection. Home covid test negative last night, will retest today and tomorrow.
Release 12 — day 42, dose 3, dependent
Symptoms: She picked up another cold. Negative at-home covid test; will retest.
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 | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release