C69-22993-52638
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- MFL-32356-22600
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
-
2022-06-29
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Feeling hot — Feeling: Good · FeverFree text: He has felt a little warmer than usual but it does not seem to affect himMedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-07-03
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: He developed cough and runny nose so I believe he may have caught another cold.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Health check-in — day 7, dose 1, dependentFeeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-07-11
Survey response — day 14, dose 1, dependentMedDRA: Atypical pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: He got diagnosed with walking pneumonia about a week after having the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — day 14, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-20
-
2022-07-26
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-24
-
2022-08-30
Survey response — day 35, dose 2, dependentMedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Low grade fever, cough, congestion, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-09-06
- 2022-10-25
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He has felt a little warmer than usual but it does not seem to affect him
Systemic reaction (other): He developed cough and runny nose so I believe he may have caught another cold.
Release 12 — day 14, dose 1, dependent
Symptoms: He got diagnosed with walking pneumonia about a week after having the vaccine.
Release 12 — day 35, dose 2, dependent
Symptoms: Low grade fever, cough, congestion, sore throat
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 | Atypical pneumonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release