MV4-20809-58636
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 775 / TX
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- MC6-28665-75151
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-24
Registered in v-safe
-
2022-06-24
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-25
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-06-27
- 2022-06-28
- 2022-07-01
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-07-22
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
-
2022-08-26
Survey response — day 35, dose 2, dependentMedDRA: Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny nose, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Ear infection, Viral infection — 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 · Outpatient clinic or urgent care clinic visitFree text: Virus, ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
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)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 35, dose 2, dependent
Symptoms: Runny nose, fatigue
Release 12 — 3 months, dose 2, dependent
Symptoms: Virus, ear infection
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 | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release