FMD-23331-59919
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 020 / MA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- KJ3-31960-74709
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
-
2022-06-29
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Irritability/crying · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Having trouble sleepingMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — days 1–6 daily, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-30
-
2022-06-30
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-01
- 2022-07-03
- 2022-07-20
-
2022-07-23
Dose 2 — Moderna
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-07
- 2022-08-13
- 2022-08-20
- 2022-08-27
-
2022-09-05
Survey response — day 42, dose 2, under 3MedDRA: Irritability, Pyrexia, SARS-CoV-2 test negative — Feeling: FairFree text: Fever, 101.3, yesterday. COVID at home test negative. Afebrile today but still fussy.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Having trouble sleeping
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Fever, 101.3, yesterday. COVID at home test negative. Afebrile today but still fussy.
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 | Irritability | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release