F48-12684-42214
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 606 / IL
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- XYF-14884-66210
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Registered in v-safe
-
2022-07-09
Dose 1 — Moderna
- 2022-07-09
- 2022-07-10
- 2022-07-12
-
2022-07-13
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-14
- 2022-07-15
- 2022-07-16
-
2022-07-23
Survey response — 14 day, dose 1, under 3MedDRA: Cough, Nasal congestion — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-07-30
Survey response — 21 day, dose 1, under 3MedDRA: Pyrexia, Self-medication — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2022-08-06
-
2022-08-13
Survey response — 35 day, dose 1, under 3MedDRA: Abnormal faeces, Diarrhoea, Faeces pale, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-08-19
Dose 2 — Moderna
-
2022-08-19
Health check-in — 0 day, dose 2, under 3Feeling: Good · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-09-16
- 2022-09-23
- 2022-09-30
-
2022-11-18
Survey response — 3 month, dose 2, under 3MedDRA: Ear infection, Roseola — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-11-18
Report sent to call center — 3 month, dose 2, under 3Be 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)
- 2022-11-21
-
2022-11-21
Call successfulNot applicable - Accidental Reporting
-
2023-02-01
Dose 3 — ModernaCo-administered: Tetanus
- 2023-02-02
-
2023-02-03
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-02-04
- 2023-02-05
- 2023-02-06
- 2023-02-07
- 2023-02-08
- 2023-02-15
- 2023-02-22
- 2023-03-01
- 2023-03-08
- 2023-03-15
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-19 | Moderna | No |
| 3 | 2023-02-01 | Moderna | Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-18 | Successful 2022-11-21 |
Not applicable - Accidental Reporting |
Free text
Release 12 (Under 3)
Symptoms: Nasal congestion and cough
Symptoms: Fever overnight last night (July 29 to 30), reaching 102.0F to 102.5F that remained there for several hours even when given fever reducers
Symptoms: Fever, pain, unusual stools (lighter color, less solid)
Symptoms: Almost certainly unrelated to the vaccination, but multiple bilateral ear infections as well as an occurrence of roseola
Free-text releases are not linked to a specific 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 | Abnormal faeces | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Faeces pale | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Roseola | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release