A7L-26714-31058
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 275 / NC
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 7A4-15739-09538
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Survey response — days 1–6 daily, dose 1, under 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Site: Pain · Fever · Sleepiness · Be unable to work or attend schoolFree text: Tested positive for covid todayMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Fever · None · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-02
Survey response — day 7, dose 1, under 3MedDRA: SARS-CoV-2 test negative — Feeling: GoodFree text: covid PCR test negative 6/29MedDRA releases: 2024-11 · check-in free text available
- 2022-07-09
- 2022-07-16
-
2022-07-23
Survey response — day 28, dose 1, under 3MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: RashMedDRA releases: 2024-11 · check-in free text available
-
2022-07-23
Report sent to call center — day 28, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-29
Dose 2 — Moderna
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain · Vomiting, DiarrheaUnder 3 check-in
- 2022-07-31
- 2022-08-02
- 2022-08-03
- 2022-08-05
- 2022-08-12
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-23 | Successful 2022-07-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Tested positive for covid today
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): covid PCR test negative 6/29
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Rash
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 | Rash | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release