G9J-18021-64588

3 vaccinations 12 coded responses 36 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 0-4
ZIP prefix: 452 / OH
Registered: 2022-06-23

Relationship: Child or adolescent in my care
Guardian: FM6-10601-64984
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-23
Registered in v-safe
2022-07-09
Dose 1 — Moderna
2022-07-09
Health check-in — day 0, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-10
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-07-11
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-12
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Exposure to SARS-CoV-2 — Feeling: Fair · Fever · Sleepiness, Vomiting · Be unable to do your normal daily activities

Free text: (b)(6)'s dad was Covid positive on a RAT 7/11. Will get (b)(6) tested ASAP

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities

Free text: (b)(6) was Covid pos (on PCR) 7/12

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Sleepiness · Be unable to do your normal daily activities

Free text: Covid pcr pos 7/12

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Sleepiness · Be unable to do your normal daily activities

Under 3 check-in
2022-07-16
Health check-in — day 7, dose 1, under 3
Feeling: Good · Fever · Sleepiness

Under 3 check-in
2022-07-23
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-30
Survey response — day 21, dose 1, under 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: Tested positive for Covid 7/12/22

MedDRA releases: 2024-11 · check-in free text available
2022-08-06
Health check-in — day 28, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-08-22
Health check-in — day 42, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-08-29
Dose 2 — Moderna
2022-08-31
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Medical counselling — Feeling: Fair · Sleepiness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Texted our pediatrician

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — days 1–6 daily, dose 2, under 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-01
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Vomiting, Diarrhea, Rash, not including the immediate area around the injection site

Under 3 check-in
2022-09-01
Call successful
Participant prefers to complete VAERS report online
2022-09-02
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Sleepiness, Rash, not including the immediate area around the injection site

Under 3 check-in
2022-09-03
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Body temperature increased — Feeling: Fair · Sleepiness, Irritability/crying, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Tactile fever, but measured temp only 97.9

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Irritability, Teething — Feeling: Good · Sleepiness

Free text: Getting 4 molars. May likely explain some of the fussiness this past week.

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
Health check-in — day 7, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-09-12
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-19
Survey response — day 21, dose 2, under 3
MedDRA: SARS-CoV-2 test negative, Viral upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Viral URI. Home COVID RAT neg

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-03
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-10
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-11-30
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-06
Dose 3 — Moderna
2023-01-07
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2023-01-08
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2023-01-09
Survey response — days 1–6 daily, dose 3, under 3
MedDRA: Frequent bowel movements — Feeling: Good

MedDRA releases: 2024-11
2023-01-11
Survey response — days 1–6 daily, dose 3, under 3
MedDRA: Unevaluable event — Feeling: Good

MedDRA releases: 2024-11
2023-01-12
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2023-01-13
Health check-in — day 7, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2023-01-20
Health check-in — day 14, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-01-27
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-02-03
Health check-in — day 28, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-02-10
Health check-in — day 35, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-02-17
Survey response — day 42, dose 3, under 3
MedDRA: Viral upper respiratory tract infection — Feeling: Good

MedDRA releases: 2024-11
2023-04-07
Survey response — 3 months, dose 3, under 3
MedDRA: Viral upper respiratory tract infection — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-09	Moderna	No
2	2022-08-29	Moderna	No
3	2023-01-06	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-07-12

Systemic reaction (other): (b)(6)'s dad was Covid positive on a RAT 7/11. Will get (b)(6) tested ASAP

redacted (b)(6)

2022-07-13

Systemic reaction (other): (b)(6) was Covid pos (on PCR) 7/12

redacted (b)(6)

2022-07-14

Systemic reaction (other): Covid pcr pos 7/12

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-30

Symptoms: Tested positive for Covid 7/12/22

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-08-31

Healthcare visit (other): Texted our pediatrician

2022-09-03

Systemic reaction (other): Tactile fever, but measured temp only 97.9

2022-09-04

Systemic reaction (other): Getting 4 molars. May likely explain some of the fussiness this past week.

Release 12 (Under 3) — day 21, dose 2, under 3

2022-09-19

Symptoms: Viral URI. Home COVID RAT neg

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
HCVO	Medical counselling	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Frequent bowel movements	·	·	✓
SRO	Irritability	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Teething	·	·	✓
SRO	Unevaluable event	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release