K2G-18623-54694
3 vaccinations
1 coded response
25 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 787 / TX
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- 76R-99750-47913
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
- 2022-06-27
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-11
- 2022-07-18
-
2022-07-25
Dose 2 — Moderna
- 2022-08-01
- 2022-08-08
- 2022-08-29
- 2022-09-05
-
2022-12-30
Dose 3 — Moderna
-
2022-12-31
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Redness · NoneUnder 3 check-in
- 2023-01-01
- 2023-01-02
- 2023-01-03
- 2023-01-05
- 2023-01-08
- 2023-01-13
-
2023-01-20
Survey response — day 21, dose 3, under 3MedDRA: Abdominal discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — day 21, dose 3, under 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2023-01-23
Call successfulParticipant prefers to complete VAERS report online
- 2023-01-29
- 2023-02-05
- 2023-02-12
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
| 3 | 2022-12-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-20 | Successful 2023-01-23 |
Participant prefers to complete VAERS report online |
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release