C5F-20931-50038

2 vaccinations 9 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 168 / PA
Registered: 2022-06-25

Relationship: Child or adolescent in my care
Guardian: PKC-24650-63057
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-25
Registered in v-safe
2022-06-29
Dose 1 — Moderna
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Sleepiness

Under 3 check-in
2022-07-04
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-05
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: No adverse event — Feeling: Good · Irritability/crying

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-13
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-20
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-27
Health check-in — day 28, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-29
Dose 2 — Moderna
2022-07-30
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Rhinorrhoea, Sinus congestion — Feeling: Fair · Irritability/crying · Be unable to work or attend school

Free text: Sinus congestion, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough, Sinus congestion — Feeling: Good

Free text: Sinus congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-05
Survey response — day 7, dose 2, under 3
MedDRA: Insomnia, Sinus congestion — Feeling: Good

Free text: Sinus congestion, trouble sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — day 14, dose 2, under 3
MedDRA: Cough, Ear infection, Rhinorrhoea — 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

Free text: Ear infection, continued runny nose and mild cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Report sent to call center — day 14, 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)
2022-08-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-19
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-27
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-03
Survey response — day 35, dose 2, under 3
MedDRA: Ear infection, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school

Free text: Double ear infection, upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-28
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-27
Survey response — 6 months, dose 2, under 3
MedDRA: Diarrhoea, Pyrexia, Rhinorrhoea, Sleep disorder — Feeling: Fair · 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
2023-01-27
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)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-29	Moderna	No
2	2022-07-29	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

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

2022-07-05

Systemic reaction (other): No

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

2022-07-30

Systemic reaction (other): Runny nose

2022-07-31

Systemic reaction (other): Runny nose

2022-08-01

Systemic reaction (other): Sinus congestion, runny nose

2022-08-03

Systemic reaction (other): Sinus congestion, cough

Release 12 (Under 3) — day 7, dose 2, under 3

2022-08-05

Systemic reaction (other): Sinus congestion, trouble sleeping

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-12

Symptoms: Ear infection, continued runny nose and mild cough

Release 12 (Under 3) — day 35, dose 2, under 3

2022-09-03

Symptoms: Double ear infection, upper respiratory 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	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Insomnia	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sinus congestion	·	·	✓

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