M5X-31979-30622
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-07-06
- Relationship
- Child or adolescent in my care
- Guardian
- ZP2-90831-40010
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-05
Dose 1 — ModernaCo-administered: Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus
-
2022-07-06
Registered in v-safe
-
2022-07-06
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness · Fever · Irritability/crying · Be unable to do your normal daily activitiesFree text: Inability to sleepMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain, Redness · Fever · NoneUnder 3 check-in
- 2022-07-08
-
2022-07-09
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Unevaluable event — Feeling: Fair · Irritability/crying, Loss of appetiteFree text: Might be teethingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
-
2022-08-02
Survey response — day 28, dose 1, under 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Survey response — day 35, dose 1, under 3MedDRA: Cough, Feeding disorder, Office visit, Poor quality sleep, Respiratory tract congestion, Rhinorrhoea, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad virus, runny nose, congestion, cough, poor bottle drinking, poor sleeping · Healthcare visit (other): PediatricianMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Report sent to call center — day 35, dose 1, under 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-10
- 2022-08-16
-
2022-09-01
Dose 2 — Moderna
-
2022-09-02
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Chills, Crying, Insomnia, Pyrexia — Feeling: Poor · Site: Pain · Fever · Irritability/cryingFree text: Chills, fever, sleeplessness, cryingMedDRA releases: 2024-11 · check-in free text available
- 2022-09-03
- 2022-09-04
- 2022-09-05
- 2022-09-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-05 | Moderna | Hepatitis B:Hib:Other:Polio:Rotavirus:Tetanus |
| 2 | 2022-09-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-09 | Unsuccessful |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Inability to sleep
Systemic reaction (other): Might be teething
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Runny nose, congestion
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Bad virus, runny nose, congestion, cough, poor bottle drinking, poor sleeping
Healthcare visit (other): Pediatrician
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Chills, fever, sleeplessness, crying
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 | Cough | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Crying | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release