NF4-15455-66788
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 495 / MI
- Registered
- 2022-07-23
- Relationship
- Child or adolescent in my care
- Guardian
- W2B-24646-45345
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-07-22
Dose 2 — Moderna
-
2022-07-23
Registered in v-safe
- 2022-07-23
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-21
- 2022-08-26
-
2022-09-02
Survey response — day 42, dose 2, under 3MedDRA: Pyrexia — 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: feverMedDRA releases: 2024-11 · check-in free text available
-
2022-09-02
Report sent to call center — day 42, 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)
- 2022-09-06
- 2022-10-21
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-02 | Unsuccessful |
Free text
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: fever
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 | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release