GJ2-33142-77096
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 296 / SC
- Registered
- 2022-07-07
- Relationship
- Child or adolescent in my care
- Guardian
- YU5-84438-13701
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-06
Dose 1 — Moderna
-
2022-07-07
Registered in v-safe
-
2022-07-07
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-13
- 2022-07-20
- 2022-07-27
-
2022-08-03
Dose 2 — Moderna
- 2022-08-03
-
2022-08-04
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-08-05
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · Irritability/cryingUnder 3 check-in
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · NoneUnder 3 check-in
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-12
- 2022-08-17
- 2022-08-24
-
2022-08-31
Survey response — day 28, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, runny nose, fever. She has a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Survey response — day 35, dose 2, under 3MedDRA: Ear infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Right ear infection · Healthcare visit (other): She required antibiotics for the ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Report sent to call center — day 35, 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)
-
2022-09-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-16
-
2022-11-02
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, cough, fever- URIMedDRA releases: 2024-11 · check-in free text available
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-06 | Moderna | No |
| 2 | 2022-08-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-07 | Successful 2022-09-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Cough, runny nose, fever. She has a cold
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Right ear infection
Healthcare visit (other): She required antibiotics for the ear infection
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Runny nose, cough, fever- URI
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 | Ear infection | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release