CWP-80867-07557

3 vaccinations 13 coded responses 25 check-ins 12 free-text entries 4 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 936 / CA
Registered: 2022-06-20

Relationship: Child or adolescent in my care
Guardian: 38Y-14009-08690
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2022-06-20
Registered in v-safe
2022-06-22
Dose 1 — Moderna
2022-06-23
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-24
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-06-27
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-29
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-06
Survey response — day 14, dose 1, under 3
MedDRA: Diarrhoea, Insomnia, Irritability, Lacrimation increased, Ocular hyperaemia, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: 7/3-7/4 irritable couldn't sleep, fever, eyes watering and bloodshot 7/4-7/5 vomited 7/6 diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — day 21, dose 1, under 3
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash 6/6-7/8

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — day 21, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call successful
Participant prefers to complete VAERS report online
2022-07-20
Dose 2 — Moderna
2022-07-20
Survey response — day 0, dose 2, under 3
MedDRA: Cough, Increased viscosity of upper respiratory secretion, Insomnia, Respiratory tract congestion — Feeling: Poor · Irritability/crying, Loss of appetite · Be unable to do your normal daily activities

Free text: Congestion, cough, stringy thick mucus, can't get comfortable to sleep

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough — Feeling: Fair

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Irritability/crying

Free text: Congestion/cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Runny nose/congestion and cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Cough, Secretion discharge — Feeling: Good

Free text: Cough, mucus

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Secretion discharge — Feeling: Good

Free text: Mucus

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-05
Survey response — day 14, dose 2, under 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-17
Survey response — day 28, dose 2, under 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny nose, congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-02
Survey response — day 42, dose 2, under 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Runny nose, congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Report sent to call center — day 42, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-06
Call 2 — Left Voicemail
2022-10-21
Survey response — 3 months, dose 2, under 3
MedDRA: Cough, Feeling hot, Insomnia, Lacrimation increased, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hot to the touch, coughing, runny nose, watering eyes, difficulty sleeping, sneezing, congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — 3 months, dose 2, under 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-24
Call 3 — Left Voicemail
2022-10-24
Call 2 — Left Voicemail
2023-01-22
Health check-in — 6 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-02-06
Dose 3 — Moderna
2023-03-23
Survey response — day 42, dose 3, under 3
MedDRA: Office visit, Strabismus — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-23
Report sent to call center — day 42, dose 3, under 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-24
Call 1 — Left Voicemail
2023-03-24
Call 1 — Left Voicemail
2023-03-24
Call 1 — Left Voicemail
2023-05-10
Health check-in — 3 months, dose 3, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-22	Moderna	No
2	2022-07-20	Moderna	No
3	2023-02-06	Moderna	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-06

Symptoms: 7/3-7/4 irritable couldn't sleep, fever, eyes watering and bloodshot 7/4-7/5 vomited 7/6 diarrhea

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

2022-07-13

Symptoms: Rash 6/6-7/8

Release 12 (Under 3) — day 0, dose 2, under 3

2022-07-20

Systemic reaction (other): Congestion, cough, stringy thick mucus, can't get comfortable to sleep

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

2022-07-21

Systemic reaction (other): Coughing

2022-07-22

Systemic reaction (other): Congestion/cough

2022-07-23

Systemic reaction (other): Runny nose/congestion and cough

2022-07-24

Systemic reaction (other): Cough, mucus

2022-07-26

Systemic reaction (other): Mucus

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

2022-08-05

Symptoms: Runny nose, congestion

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-17

Symptoms: Runny nose, congestion, cough

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-02

Symptoms: Runny nose, congestion, cough

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-21

Symptoms: Hot to the touch, coughing, runny nose, watering eyes, difficulty sleeping, sneezing, 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
HCVO	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Feeling hot	·	·	✓
SD	Insomnia	·	·	✓
SD	Irritability	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Strabismus	·	·	✓
SD	Vomiting	·	·	✓
SRO	Cough	·	·	✓
SRO	Increased viscosity of upper respiratory secretion	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Secretion discharge	·	·	✓

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