JA2-14598-38778
1 vaccination
3 coded responses
10 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 553 / MN
- Registered
- 2022-08-11
- Relationship
- Child or adolescent in my care
- Guardian
- Y2C-10656-21557
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-11
Registered in v-safe
-
2022-08-11
Dose 1 — Moderna
- 2022-08-11
- 2022-08-12
- 2022-08-15
- 2022-08-18
-
2022-08-27
Survey response — day 14, dose 1, under 3MedDRA: Fatigue, Hypersomnia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tired, slept a lotMedDRA releases: 2024-11 · check-in free text available
- 2022-09-03
- 2022-09-10
-
2022-09-24
Survey response — day 42, dose 1, under 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Basic cold, congestion, cough, runny nose, tested Covid negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Survey response — 3 months, dose 1, under 3MedDRA: Cough, Ear infection, Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend school, 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: Ear infection, strep throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — 3 months, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
- 2023-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-11 | Unsuccessful |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Tired, slept a lot
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Basic cold, congestion, cough, runny nose, tested Covid negative
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: Ear infection, strep throat, cough
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 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release