9NS-14217-45883
3 vaccinations
2 coded responses
32 check-ins
1 free-text entry
3 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 480 / MI
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- X5V-31338-73249
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · SleepinessUnder 3 check-in
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-27
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationUnder 3 check-in
-
2022-07-28
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-29
Health check-in — day 7, dose 2, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-07-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-05
- 2022-08-14
- 2022-08-19
-
2022-10-23
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-25
-
2023-01-22
Survey response — 6 months, dose 2, under 3MedDRA: Ear infection, Influenza, Streptococcal infection — Feeling: Good · 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
-
2023-01-22
Report sent to call center — 6 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)
-
2023-01-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-28
Dose 3 — Moderna
- 2023-01-28
- 2023-01-29
- 2023-01-31
- 2023-02-01
- 2023-02-02
- 2023-02-03
- 2023-02-04
- 2023-02-11
- 2023-02-18
- 2023-02-27
- 2023-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2023-01-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-28 | Successful 2022-07-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-23 | Successful 2023-01-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-01-22 | Successful 2023-01-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Ear infection
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 | Ear infection | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release