MW7-99500-38100
3 vaccinations
2 coded responses
24 check-ins
1 free-text entry
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 195 / PA
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- WUC-24450-13339
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-20
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
-
2022-07-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
-
2022-08-16
Survey response — day 28, dose 2, dependentMedDRA: COVID-19 — Feeling: Poor · 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: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Report sent to call center — day 28, dose 2, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-17
- 2022-08-23
- 2022-08-30
- 2022-10-20
-
2022-12-17
Dose 3 — Moderna
-
2023-01-17
Survey response — 6 months, dose 2, dependentMedDRA: Erythema multiforme — 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 · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-17
Report sent to call center — 6 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 prEmergency room or emergency department visit · 1 call case(s)
-
2023-01-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-20 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-16 | Successful 2023-01-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-01-17 | Successful 2023-01-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 28, dose 2, dependent
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SD | Erythema multiforme | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release