C4M-26638-98143 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-07-07
Dose 1 — Moderna
2022-07-08
Registered in v-safe
2022-07-08
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Fever · None

Under 3 check-in
2022-07-09
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-10
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-11
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-12
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-13
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-14
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-23
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-28
Survey response — day 21, dose 1, under 3
MedDRA: COVID-19, Cough, Fatigue, Nasal congestion, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: (b)(6) contracted covid from his parents, and experienced a fever, cough, stuffy and runny nose, and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — day 28, dose 1, under 3
MedDRA: Diarrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea ongoing

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — day 28, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-08
Call 1 — Left Voicemail
2022-08-09
Dose 2 — Moderna
2022-08-09
Health check-in — day 0, dose 2, under 3
Feeling: Fair · Fever · Irritability/crying

Under 3 check-in
2022-08-10
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · Irritability/crying, Vomiting

Under 3 check-in
2022-08-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-11
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Irritability/crying, Diarrhea · Be unable to work or attend school

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Diarrhea · Be unable to work or attend school

Under 3 check-in
2022-08-13
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · None

Under 3 check-in
2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · None

Under 3 check-in
2022-08-15
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Health check-in — day 7, dose 2, under 3
Feeling: Good · Diarrhea

Under 3 check-in
2022-08-23
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-31
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-06
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-13
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-20
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-11-08
Health check-in — 3 months, dose 2, under 3
Feeling: Fair

Under 3 check-in
2023-02-07
Survey response — 6 months, dose 2, under 3
MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-07
Report sent to call center — 6 months, dose 2, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-08
Call 1 — Left Voicemail
2023-02-08
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-07	Moderna	No
2	2022-08-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-05	Successful 2022-08-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-07	Successful 2023-02-08	Participant prefers to complete VAERS report online

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-28

Symptoms: (b)(6) contracted covid from his parents, and experienced a fever, cough, stuffy and runny nose, and fatigue.

redacted (b)(6)

Release 12 (Under 3) — day 28, dose 1, under 3

2022-08-05

Symptoms: Diarrhea ongoing

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-08-11

Systemic reaction (other): Congestion

2022-08-15

Systemic reaction (other): Congestion

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	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release