KMA-40274-74036
3 vaccinations
2 coded responses
24 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 770 / TX
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 494-21873-47793
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-04
- 2022-08-09
- 2022-08-16
-
2022-08-23
Survey response — day 35, dose 2, under 3MedDRA: Body temperature increased, Pyrexia, SARS-CoV-2 test negative — Feeling: GoodFree text: 99-102 fever for <24h; negative on 2 at-home COVID testsMedDRA releases: 2024-11 · check-in free text available
- 2022-08-30
- 2022-10-18
-
2022-12-20
Dose 3 — Moderna
- 2023-01-17
-
2023-03-22
Survey response — 3 months, dose 3, under 3MedDRA: Cough, Ear infection, Pyrexia, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 3 months, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-23
- 2023-06-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
| 3 | 2022-12-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-22 | Unsuccessful |
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: 99-102 fever for <24h; negative on 2 at-home COVID tests
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release