LN4-36069-37838
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 770 / TX
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- WVV-80594-11431
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-19
Dose 2 — Moderna
-
2022-07-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Chills, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-21
- 2022-07-23
- 2022-07-25
- 2022-07-26
- 2022-08-02
-
2022-08-09
Survey response — day 21, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Respiratory tract infection viral, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Respiratory virus. Coughing, runny nose, congestion, sneezing.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-16
-
2022-08-23
Survey response — day 35, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Survey response — day 42, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Report sent to call center — day 42, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-18
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Diarrhoea, Influenza, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Flu A. High fever, cough, congestion, diarrhea, body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Report sent to call center — 3 months, dose 2, dependentBe 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)
- 2022-10-19
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-30 | Successful 2022-08-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-18 | Unsuccessful |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Respiratory virus. Coughing, runny nose, congestion, sneezing.
Release 12 — day 35, dose 2, dependent
Symptoms: Runny nose, congestion, cough
Release 12 — day 42, dose 2, dependent
Symptoms: Runny nose, congestion, cough
Release 12 — 3 months, dose 2, dependent
Symptoms: Flu A. High fever, cough, congestion, diarrhea, body aches
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 | Diarrhoea | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release