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NRP-18552-08561

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
660 / KS
Registered
2022-07-14
Relationship
Child or adolescent in my care
Guardian
X3S-10681-92716
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-14
    Registered in v-safe
  2. 2022-07-14
    Dose 1 — Moderna
  3. 2022-07-14
    Survey response — day 0, dose 1, under 3
    MedDRA: Injection site rash — Feeling: Good · Site: Redness, Swelling/hardness · Rash, not including the immediate area around the injection site
    Free text: The rash is about 1" diameter around the injection site
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-15
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-16
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  6. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-18
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  8. 2022-07-19
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-20
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-21
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-28
    Survey response — day 14, dose 1, under 3
    MedDRA: Decreased appetite, Fatigue, Irritability, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: (b)(6) currently has a bad head cold. Runny nose, sneezing, lack of appetite, and fussiness/fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-08-04
    Survey response — day 21, dose 1, under 3
    MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair
    Free text: (b)(6) coming down with another cold. He's stuffy and congested.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-11
    Dose 2 — Moderna
  14. 2022-08-13
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  15. 2022-08-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  16. 2022-08-15
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  17. 2022-08-16
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  18. 2022-08-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  19. 2022-08-18
    Health check-in — day 7, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  20. 2022-08-27
    Health check-in — day 14, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  21. 2022-09-01
    Health check-in — day 21, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  22. 2022-09-08
    Survey response — day 28, dose 2, under 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: He has a head cold
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-09-22
    Health check-in — day 42, dose 2, under 3
    Feeling: Fair
    Under 3 check-in
  24. 2022-11-11
    Survey response — 3 months, dose 2, under 3
    MedDRA: Asthma, Cough, Ear infection, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: (b)(6) has been struggling with a bad cold and an ear infection. Coughing, running nose, increase asthma attacks.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-11-11
    Report sent to call center — 3 months, dose 2, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-11-14
  27. 2022-11-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  28. 2023-02-09
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-14Moderna No
22022-08-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-11 Successful
2022-11-14
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 12 (Under 3) — day 0, dose 1, under 3

2022-07-14

Systemic reaction (other): The rash is about 1" diameter around the injection site

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-28

Symptoms: (b)(6) currently has a bad head cold. Runny nose, sneezing, lack of appetite, and fussiness/fatigue.
redacted (b)(6)

Release 12 (Under 3) — day 21, dose 1, under 3

2022-08-04

Symptoms: (b)(6) coming down with another cold. He's stuffy and congested.
redacted (b)(6)

Release 12 (Under 3) — day 28, dose 2, under 3

2022-09-08

Symptoms: He has a head cold

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-11-11

Symptoms: (b)(6) has been struggling with a bad cold and an ear infection. Coughing, running nose, increase asthma attacks.
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
SDAsthma · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDEar infection · · ✓
SDFatigue · · ✓
SDIrritability · · ✓
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROInjection site rash · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release