C9C-29698-15435
2 vaccinations
4 coded responses
18 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 480 / MI
- Registered
- 2022-08-09
- Relationship
- Child or adolescent in my care
- Guardian
- 6DU-14437-74930
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-01
Dose 1 — Moderna
-
2022-08-09
Registered in v-safe
- 2022-08-09
- 2022-08-15
- 2022-08-22
-
2022-08-29
Dose 2 — Moderna
- 2022-08-29
-
2022-08-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-08-31
- 2022-09-01
- 2022-09-02
- 2022-09-03
- 2022-09-04
- 2022-09-05
-
2022-09-12
Survey response — day 14, dose 2, dependentMedDRA: Conjunctivitis, Pyrexia, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pink eye, sinus infection, feverMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Report sent to call center — day 14, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-19
- 2022-09-26
- 2022-10-03
-
2022-10-10
Survey response — day 42, dose 2, dependentMedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cold beginning 10/8/22 (stuffy/runny nose, cough)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-28
Survey response — 3 months, dose 2, dependentMedDRA: Gastroenteritis viral, Malaise — Feeling: Good · Be unable to work or attend schoolFree text: Was sick with the stomach flu 11/22 - all better nowMedDRA releases: 2024-11 · check-in free text available
-
2023-02-28
Survey response — 6 months, dose 2, dependentMedDRA: Ear infection, Tympanic membrane perforation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-28
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-01
-
2023-03-01
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-01 | Moderna | No |
| 2 | 2022-08-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-12 | Successful 2022-09-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-02-28 | Successful 2023-03-01 |
Does not wish to fill out VAERS report |
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Pink eye, sinus infection, fever
Release 12 — day 42, dose 2, dependent
Symptoms: Cold beginning 10/8/22 (stuffy/runny nose, cough)
Release 12 — 3 months, dose 2, dependent
Symptoms: Was sick with the stomach flu 11/22 - all better now
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tympanic membrane perforation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release