E8A-22641-87994
3 vaccinations
7 coded responses
31 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- UHU-31331-04086
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-07
Dose 1 — Moderna
-
2022-07-13
Registered in v-safe
-
2022-07-13
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Be unable to work or attend schoolFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Survey response — day 7, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
-
2022-07-28
Survey response — day 21, dose 1, dependentMedDRA: Malaise, Oropharyngeal pain, Pyrexia, Rash, Swelling face — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fever, sore throat, rash, facial swelling, malaiseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Report sent to call center — day 21, 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-29
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-04
- 2022-08-11
-
2022-08-16
Dose 2 — Moderna
-
2022-08-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-30
- 2022-09-06
- 2022-09-13
-
2022-09-20
Survey response — day 35, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Survey response — day 42, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough/congestion, had 4 negative COVID testsMedDRA releases: 2024-11 · check-in free text available
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2022-11-15
Survey response — 3 months, dose 2, dependentMedDRA: Ear pain, Vomiting — Feeling: GoodFree text: Each ache, vomited once. Both resolved without intervention.MedDRA releases: 2024-11 · check-in free text available
-
2023-02-11
Dose 3 — Moderna
- 2023-02-12
- 2023-02-13
- 2023-02-14
- 2023-02-15
- 2023-02-16
- 2023-02-17
- 2023-02-18
- 2023-02-27
- 2023-03-04
- 2023-03-13
- 2023-03-18
-
2023-03-25
Survey response — day 42, dose 3, dependentMedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-07 | Moderna | No |
| 2 | 2022-08-16 | Moderna | No |
| 3 | 2023-02-11 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Sore throat
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Sore throat
Release 12 — day 21, dose 1, dependent
Symptoms: Fever, sore throat, rash, facial swelling, malaise
Release 12 — day 35, dose 2, dependent
Symptoms: Cough and runny nose
Release 12 — day 42, dose 2, dependent
Symptoms: Cough/congestion, had 4 negative COVID tests
Release 12 — 3 months, dose 2, dependent
Symptoms: Each ache, vomited once. Both resolved without intervention.
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 | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release