NA7-15066-02511
3 vaccinations
5 coded responses
29 check-ins
1 free-text entry
3 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- XB3-15830-31968
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-07-25
Dose 1 — Moderna
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
-
2022-08-22
Dose 2 — Moderna
- 2022-08-22
-
2022-08-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-24
- 2022-08-25
- 2022-08-26
- 2022-08-28
- 2022-08-29
- 2022-09-05
- 2022-09-13
-
2022-09-19
Survey response — day 28, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-10-03
- 2022-11-21
-
2023-01-31
Dose 3 — ModernaCo-administered: Chickenpox:Hepatitis A:MMR
-
2023-02-20
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19, Cough, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-20
Survey response — day 14, dose 3, under 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-20
Report sent to call center — day 14, dose 3, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-02-20
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-21
- 2023-02-21
- 2023-02-21
-
2023-03-02
Survey response — day 28, dose 3, under 3MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-02
Report sent to call center — day 28, dose 3, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-03
- 2023-03-03
- 2023-03-03
- 2023-03-07
-
2023-03-14
Survey response — day 42, dose 3, under 3MedDRA: Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
- 2023-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-25 | Moderna | No |
| 2 | 2022-08-22 | Moderna | No |
| 3 | 2023-01-31 | Moderna | Chickenpox:Hepatitis A:MMR |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-20 | Unsuccessful | |
| 2023-02-20 | Unsuccessful | |
| 2023-03-02 | Unsuccessful |
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Runny nose
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release