FZ8-10467-78589
3 vaccinations
2 coded responses
39 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 410 / KY
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 3WU-25769-20445
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
-
2022-06-24
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-26
- 2022-06-27
- 2022-06-28
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-30
- 2022-07-07
- 2022-07-16
- 2022-07-21
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Irritability/cryingFree text: Sniffly noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/crying, DiarrheaUnder 3 check-in
- 2022-07-25
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2022-07-27
Report sent to call center — days 1–6 daily, 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)
- 2022-07-28
-
2022-07-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-31
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection — Feeling: GoodFree text: He has an ear infection and has started antibiotics.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-20
-
2023-02-17
Dose 3 — Moderna
-
2023-02-18
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Pain · SleepinessUnder 3 check-in
- 2023-02-19
- 2023-02-20
- 2023-02-21
- 2023-02-22
- 2023-02-23
- 2023-02-24
- 2023-03-03
- 2023-03-10
- 2023-03-17
- 2023-03-26
- 2023-03-31
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2023-02-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-27 | Successful 2022-07-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Sniffly nose
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: He has an ear infection and has started antibiotics.
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 | Ear infection | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release