J7R-16892-06911
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 915 / CA
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- DRD-59227-11933
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
-
2022-06-21
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-06-23
-
2022-06-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Dizziness — Feeling: FairFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-06-26
- 2022-06-29
- 2022-07-07
-
2022-07-12
Survey response — day 21, dose 1, dependentMedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Persistant cough at nightMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Report sent to call center — day 21, dose 1, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-13
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-20
Dose 2 — Moderna
- 2022-08-04
- 2022-08-12
- 2022-08-19
- 2022-08-25
- 2022-08-31
- 2022-10-19
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Dizziness
Release 12 — day 21, dose 1, dependent
Symptoms: Persistant cough at night
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 | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release