N8F-30685-99289
3 vaccinations
1 coded response
30 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 336 / FL
- Registered
- 2022-08-23
- Relationship
- Child or adolescent in my care
- Guardian
- X95-18409-90953
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-23
Registered in v-safe
-
2022-08-23
Dose 1 — ModernaCo-administered: Hib:Polio:Rotavirus:Tetanus
-
2022-08-23
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-08-24
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-08-25
- 2022-08-26
- 2022-08-27
- 2022-08-28
- 2022-08-29
- 2022-08-30
- 2022-09-06
- 2022-09-20
- 2022-09-27
- 2022-10-04
-
2022-10-12
Dose 2 — ModernaCo-administered: Flu
- 2022-10-24
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-11-16
Survey response — day 35, dose 2, under 3MedDRA: Influenza — Feeling: Fair · 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: Contracted the fluMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Report sent to call center — day 35, dose 2, under 3Be 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)
- 2022-11-17
-
2022-11-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-23
- 2023-01-11
-
2023-02-27
Dose 3 — ModernaCo-administered: Chickenpox:MMR
-
2023-03-02
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Site: Redness, Swelling/hardness · Irritability/cryingUnder 3 check-in
- 2023-03-03
- 2023-03-04
- 2023-03-05
- 2023-03-06
- 2023-03-13
- 2023-03-20
- 2023-03-27
- 2023-04-03
- 2023-04-10
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-23 | Moderna | Hib:Polio:Rotavirus:Tetanus |
| 2 | 2022-10-12 | Moderna | Flu |
| 3 | 2023-02-27 | Moderna | Chickenpox:MMR |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-16 | Successful 2022-11-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Contracted the flu
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 | Influenza | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release