BK9-33337-80329
3 vaccinations
5 coded responses
37 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- C4E-12020-49041
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
-
2022-06-29
Survey response — day 7, dose 1, under 3MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Injection site is red, swollen, with a hard lump under the skin, and also hot to the touchMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — day 7, dose 1, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-01
Call successfulCompleted over the phone
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
- 2022-07-20
-
2022-07-21
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Insomnia — Feeling: Good · Site: Pain, Redness, Swelling/hardness · Fever · Loss of appetiteFree text: Mild - Difficulty sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
-
2022-10-19
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Emergency care, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Very bad cold with congestion, runny nose, cough, and high fever of 104.9 leading to ER visitMedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
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 prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-10-20
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-16
Dose 3 — Moderna
-
2022-12-16
Health check-in — day 0, dose 3, under 3Feeling: Good · Site: Redness · Irritability/cryingUnder 3 check-in
- 2022-12-17
- 2022-12-18
- 2022-12-20
- 2022-12-21
- 2022-12-22
- 2022-12-23
-
2022-12-30
Survey response — day 14, dose 3, under 3MedDRA: Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Regular cold symptoms. Runny nose, congestion, fever <102.5MedDRA releases: 2024-11 · check-in free text available
-
2023-01-06
Survey response — day 21, dose 3, under 3MedDRA: Ear infection, Insomnia, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-06
Report sent to call center — day 21, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-11
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-03-17
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2022-12-16 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Injection site is red, swollen, with a hard lump under the skin, and also hot to the touch
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Mild - Difficulty sleeping
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Very bad cold with congestion, runny nose, cough, and high fever of 104.9 leading to ER visit
Release 12 (Under 3) — day 14, dose 3, under 3
Symptoms: Regular cold symptoms. Runny nose, congestion, fever <102.5
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 | Ear infection | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release