MEY-22511-22022

3 vaccinations 5 coded responses 38 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 0-4
ZIP prefix: 945 / CA
Registered: 2022-07-08

Relationship: Child or adolescent in my care
Guardian: 6C3-22783-04472
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-07-08
Registered in v-safe
2022-07-08
Dose 1 — Moderna
2022-07-08
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-22
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-29
Survey response — day 21, dose 1, dependent
MedDRA: Cough, Fatigue — Feeling: Good

Free text: Cough and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-09
Dose 2 — Moderna
2022-08-10
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-08-12
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Itching · None

Adult check-in
2022-08-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Itching · None

Adult check-in
2022-08-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-16
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-23
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-30
Survey response — day 21, dose 2, dependent
MedDRA: Office visit, Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pneumonia · Healthcare visit (other): Pediatrician Visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — day 21, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-08-31
Call 1 — Left Voicemail
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-06
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-13
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-20
Survey response — day 42, dose 2, dependent
MedDRA: Cough — Feeling: Fair

Free text: Dry cough began yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-23
Dose 3 — Pfizer-BioNTech
2022-12-24
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-25
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-26
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-27
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-28
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-29
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-30
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2023-01-06
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-13
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-20
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-27
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-03
Survey response — day 42, dose 3, dependent
MedDRA: Cough, Sinus congestion — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-03-24
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-06-23
Survey response — 6 months, dose 3, dependent
MedDRA: Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-08	Moderna	No
2	2022-08-09	Moderna	No
3	2022-12-23	Pfizer-BioNTech	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

Free text

Release 12 — day 21, dose 1, dependent

2022-07-29

Symptoms: Cough and fatigue

Release 12 — day 21, dose 2, dependent

2022-08-30

Symptoms: Pneumonia

Healthcare visit (other): Pediatrician Visit

Release 12 — day 42, dose 2, dependent

2022-09-20

Symptoms: Dry cough began yesterday.

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	Fatigue	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release