E7T-82848-72978

2 vaccinations 10 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 665 / KS
Registered: 2022-06-24

Relationship: Child or adolescent in my care
Guardian: VLZ-70357-91439
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-23
Dose 1 — Moderna
2022-06-24
Registered in v-safe
2022-06-24
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Site: Pain · None

Under 3 check-in
2022-06-25
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Rash, Rash erythematous — Feeling: Good

Free text: mild red rash to inner thigh of leg with injection yesterday afternoon, but resolved by evening

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-27
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Body temperature increased, Irritability, Teething — Feeling: Good · Fever

Free text: Only mentioning 99.6 temp bc she felt feverish and seemed fussy, but no true fever. Note appears to be teething with 2 year molars as well

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

Under 3 check-in
2022-06-30
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

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

Under 3 check-in
2022-07-14
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-21
Health check-in — day 28, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-27
Dose 2 — Moderna
2022-07-28
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Pain in extremity, Self-medication — Feeling: Good · Site: Pain

Free text: Note leg pain was yesterday several hours after the shot, improved with ibuprofen. No complaints so far today

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-30
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Headache, Pallor, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Fever · Irritability/crying · Be unable to do your normal daily activities

Free text: Fever overnight and continued today. Also started with pallor, headache and runny nose so Home tested for Covid and is positive this morning

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Body temperature increased, SARS-CoV-2 test positive — Feeling: Fair · Irritability/crying · Be unable to do your normal daily activities

Free text: Did have continued fever yesterday afternoon post + Covid rapid antigen, but no true fever overnight or today thus far. TempHovering around 100 today.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Irritability/crying · Be unable to do your normal daily activities

Under 3 check-in
2022-08-02
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: COVID-19, Patient isolation — Feeling: Good · Be unable to do your normal daily activities

Free text: Still isolating with Covid infection, but no symptoms remain

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — day 7, dose 2, under 3
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Day 5 of Covid infection, no symptoms, back to baseline

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-17
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-24
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-31
Survey response — day 35, dose 2, under 3
MedDRA: Hyperacusis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased sensitivity to sound, confirmed by pediatrician likely just normal developmental change

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — day 35, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-01
Call 1 — Left Voicemail
2022-09-07
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-26
Survey response — 3 months, dose 2, under 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Just a cold

MedDRA releases: 2024-11 · check-in free text available
2023-01-25
Survey response — 6 months, dose 2, under 3
MedDRA: Gastroenteritis viral — 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

MedDRA releases: 2024-11
2023-01-25
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)
2023-01-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-23	Moderna	No
2	2022-07-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-31	Successful 2023-01-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-25	Successful 2023-01-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

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

2022-06-25

Systemic reaction (other): mild red rash to inner thigh of leg with injection yesterday afternoon, but resolved by evening

2022-06-27

Systemic reaction (other): Only mentioning 99.6 temp bc she felt feverish and seemed fussy, but no true fever. Note appears to be teething with 2 year molars as well

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

2022-07-28

Systemic reaction (other): Note leg pain was yesterday several hours after the shot, improved with ibuprofen. No complaints so far today

2022-07-30

Systemic reaction (other): Fever overnight and continued today. Also started with pallor, headache and runny nose so Home tested for Covid and is positive this morning

2022-07-31

Systemic reaction (other): Did have continued fever yesterday afternoon post + Covid rapid antigen, but no true fever overnight or today thus far. TempHovering around 100 today.

2022-08-02

Systemic reaction (other): Still isolating with Covid infection, but no symptoms remain

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

2022-08-03

Systemic reaction (other): Day 5 of Covid infection, no symptoms, back to baseline

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

2022-08-31

Symptoms: Increased sensitivity to sound, confirmed by pediatrician likely just normal developmental change

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

2022-10-26

Symptoms: Just a cold

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	Gastroenteritis viral	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Headache	·	·	✓
SRO	Irritability	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pallor	·	·	✓
SRO	Patient isolation	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Rash	·	·	✓
SRO	Rash erythematous	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Teething	·	·	✓

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