GJT-78472-54268
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- YQZ-82317-15774
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
- 2022-07-01
- 2022-07-18
-
2022-07-22
Survey response — day 28, dose 1, under 3MedDRA: Gastroenteritis viral, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Probably just a stomach virus. She had a fever and was throwing up.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-31
-
2022-08-05
Dose 2 — Moderna
- 2022-08-05
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · Loss of appetite, Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-08-07
-
2022-08-08
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Tenderness — Feeling: Fair · Fever · Sleepiness, Loss of appetite · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: It seems like it hurts when we touch her skin. I think that she's probably just sick unrelated to the vaccine thoughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Be unable to work or attend school, Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-08-10
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
- 2022-08-16
- 2022-08-19
- 2022-08-28
- 2022-09-18
- 2023-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-08-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-22 | Successful 2022-07-25 |
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 1, under 3
Symptoms: Probably just a stomach virus. She had a fever and was throwing up.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): It seems like it hurts when we touch her skin. I think that she's probably just sick unrelated to the vaccine though
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release