D7Y-94578-84200
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 787 / TX
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- ZQD-19730-32506
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
-
2022-09-20
Survey response — 3 months, dose 1, under 3MedDRA: Body temperature increased, Otitis externa, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Outer ear infection Mild virus (intermittent elevated temps)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Report sent to call center — 3 months, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-20 | Unsuccessful |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Diarrhea
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: Outer ear infection Mild virus (intermittent elevated temps)
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 | Body temperature increased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Otitis externa | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release