F4M-12926-85137
3 vaccinations
5 coded responses
36 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 549 / WI
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- MK2-76148-74021
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-09-19
Dose 1 — ModernaCo-administered: Flu:Pneumonia:Polio:Rotavirus:Tetanus
-
2022-09-19
Health check-in — day 0, dose 1, under 3Feeling: Good · Site: Pain, Redness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-09-20
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-09-21
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
-
2022-10-17
Dose 2 — ModernaCo-administered: Flu
-
2022-10-17
Health check-in — day 0, dose 2, under 3Feeling: Good · Site: Pain, Redness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-10-18
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-10-20
- 2022-10-21
- 2022-10-22
-
2022-10-23
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Frequent bowel movements — Feeling: FairFree text: 5 dirty diapers (not diarrhea) within previous 24 hours. (typically only 1-2 per 24 hours)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-22
- 2022-11-28
-
2023-01-09
Dose 3 — Moderna
- 2023-01-09
- 2023-01-10
-
2023-01-11
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2023-01-13
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Teething — Feeling: Good · Irritability/cryingMedDRA releases: 2024-11
-
2023-01-14
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Teething — Feeling: Good · Irritability/cryingMedDRA releases: 2024-11
- 2023-01-15
- 2023-01-16
- 2023-01-23
-
2023-01-30
Survey response — day 21, dose 3, under 3MedDRA: Conjunctivitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-30
Report sent to call center — day 21, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-31
-
2023-02-01
Call successfulParticipant prefers to complete VAERS report online
- 2023-02-06
- 2023-02-13
- 2023-02-20
-
2023-04-12
Survey response — 3 months, dose 3, under 3MedDRA: Exposure to SARS-CoV-2, Viral infection — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-19 | Moderna | Flu:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2022-10-17 | Moderna | Flu |
| 3 | 2023-01-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): 5 dirty diapers (not diarrhea) within previous 24 hours. (typically only 1-2 per 24 hours)
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 | Conjunctivitis | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Frequent bowel movements | · | · | ✓ |
| SRO | Teething | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release