K2C-31629-97123
3 vaccinations
2 coded responses
31 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 081 / NJ
- Registered
- 2022-07-15
- Relationship
- Child or adolescent in my care
- Guardian
- VBJ-84947-60946
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-15
Registered in v-safe
-
2022-07-15
Dose 1 — Moderna
- 2022-07-15
- 2022-07-16
- 2022-07-18
-
2022-07-19
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-07-22
- 2022-07-29
- 2022-08-05
-
2022-08-12
Dose 2 — Moderna
- 2022-08-12
-
2022-08-13
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Redness · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-08-15
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · SleepinessUnder 3 check-in
-
2022-08-16
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · Irritability/cryingUnder 3 check-in
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-09-16
- 2022-09-23
- 2022-11-11
-
2023-02-10
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-10
Dose 3 — Moderna
-
2023-03-22
Health check-in — day 7, dose 3, under 3Feeling: Fair · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
- 2023-03-24
-
2023-03-31
Survey response — day 21, dose 3, under 3MedDRA: Bronchiolitis, Croup infectious — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-31
Report sent to call center — day 21, dose 3, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-04-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-07
- 2023-04-14
- 2023-04-21
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-15 | Moderna | No |
| 2 | 2022-08-12 | Moderna | No |
| 3 | 2023-03-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-31 | Successful 2023-04-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
None.
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 | Bronchiolitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release