LCJ-70468-22674
1 vaccination
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 614 / IL
- Registered
- 2022-07-27
- Relationship
- Child or adolescent in my care
- Guardian
- 485-55368-81463
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-27
Registered in v-safe
-
2022-07-27
Dose 1 — Moderna
- 2022-07-27
- 2022-07-28
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-11
-
2022-08-17
Survey response — day 21, dose 1, under 3MedDRA: Pharyngeal erythema, Pharyngeal swelling, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever, vomiting, red/swollen throat, strep exposure at daycareMedDRA releases: 2024-11 · check-in free text available
-
2022-08-17
Report sent to call center — day 21, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-29
- 2022-08-31
- 2022-09-09
- 2022-10-30
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-17 | Successful 2022-08-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever, vomiting, red/swollen throat, strep exposure at daycare
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 | Pharyngeal erythema | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release