FUS-10070-39433
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 190 / PA
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- V78-11397-97534
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-09
- 2022-07-18
- 2022-07-22
-
2022-07-29
Dose 2 — Moderna
- 2022-07-29
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-05
- 2022-08-12
- 2022-08-21
-
2022-08-28
Survey response — day 28, dose 2, dependentMedDRA: Foot fracture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Broken bone in L footMedDRA releases: 2024-11 · check-in free text available
-
2022-08-28
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-09
- 2023-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-28 | Successful 2022-08-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 28, dose 2, dependent
Symptoms: Broken bone in L foot
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 | Foot fracture | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release