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H6R-30227-34045

1 vaccination 1 coded response 7 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
069 / CT
Registered
2022-07-13
Relationship
Child or adolescent in my care
Guardian
R8H-10197-46447
Race
N/A
Ethnicity
N/A

Timeline

  1. 2022-07-06
    Dose 1 — Moderna
  2. 2022-07-13
    Registered in v-safe
  3. 2022-07-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2022-07-20
    Survey response — day 14, dose 1, dependent
    MedDRA: Diarrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-07-20
    Report sent to call center — day 14, dose 1, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  6. 2022-07-21
  7. 2022-07-27
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-08-05
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-08-12
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-08-17
    Health check-in — day 42, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2023-01-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  12. 2023-01-08

Vaccinations

DoseDateManufacturerCo-administered
12022-07-06Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-20 Successful
2023-01-04
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 — day 14, dose 1, dependent

2022-07-20

Symptoms: Diarrhea

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓

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

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