BEE-31748-13267
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 954 / CA
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- CBV-13537-42626
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-01
-
2022-07-02
Health check-in — day 7, dose 1, under 3Feeling: Good · Irritability/crying, DiarrheaUnder 3 check-in
- 2022-07-09
- 2022-07-18
- 2022-07-23
-
2022-07-26
Dose 2 — Moderna
-
2022-07-27
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Irritability/cryingFree text: Said stomach hurtMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
-
2022-07-29
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-08-01
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-08-02
Health check-in — day 7, dose 2, under 3Feeling: Fair · 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
-
2022-08-02
Report sent to call center — day 7, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-08-03
Call successfulCompleted over the phone
- 2022-08-09
-
2022-08-16
Survey response — day 21, dose 2, under 3MedDRA: Cough — Feeling: Good · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-24
-
2022-08-30
Survey response — day 35, dose 2, under 3MedDRA: Cough, Nasal congestion, Rhinorrhoea, Viral infection, Viral rash — 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 · Telehealth, virtual health, or email health consultationFree text: Caught another virus. Cough and stuffy/runny nose. Broke out with viral rash.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Report sent to call center — day 35, 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-31
- 2022-08-31
- 2022-09-06
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2022-10-25
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Croup infectious, Diarrhoea, Ear infection, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diarrhea for a week followed by a cough and runny nose with a one day fever of 103. The cough turned into croup. Double ear infections developed. Has been sick for two weeks now but is getting better.MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
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 professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-26
- 2023-01-24
-
2023-02-04
Dose 3 — Moderna
- 2023-02-04
-
2023-02-05
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Site: Pain · Irritability/cryingUnder 3 check-in
- 2023-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
| 3 | 2023-02-04 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Said stomach hurt
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Cough
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Caught another virus. Cough and stuffy/runny nose. Broke out with viral rash.
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Diarrhea for a week followed by a cough and runny nose with a one day fever of 103. The cough turned into croup. Double ear infections developed. Has been sick for two weeks now but is getting better.
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 | Croup infectious | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Viral rash | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release