GHD-28445-87136
2 vaccinations
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 152 / PA
- Registered
- 2022-09-19
- Relationship
- Child or adolescent in my care
- Guardian
- 3FD-29498-94890
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-29
Dose 1 — Moderna
-
2022-08-26
Dose 2 — Moderna
-
2022-09-19
Registered in v-safe
- 2022-09-19
- 2022-09-25
- 2022-09-30
- 2022-10-07
-
2022-11-26
Survey response — 3 months, dose 2, dependentMedDRA: Conjunctivitis bacterial — Feeling: Fair · 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: Bacterial conjunctivitisMedDRA releases: 2024-11 · check-in free text available
-
2022-11-26
Report sent to call center — 3 months, dose 2, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-28
-
2022-11-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-29 | Moderna | No |
| 2 | 2022-08-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-26 | Successful 2022-11-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — 3 months, dose 2, dependent
Symptoms: Bacterial conjunctivitis
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 bacterial | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release