NXQ-20771-14250
2 vaccinations
0 coded responses
14 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 220 / VA
- Registered
- 2022-08-11
- Relationship
- Child or adolescent in my care
- Guardian
- 3M9-31481-87940
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Moderna
-
2022-08-10
Dose 2 — Moderna
-
2022-08-11
Registered in v-safe
-
2022-08-11
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-08-12
- 2022-08-13
-
2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Groin or underarm swelling/tenderness · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2022-08-14
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
-
2022-08-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-16
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-09-07
- 2022-09-16
- 2022-09-21
- 2022-11-09
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
| 2 | 2022-08-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-14 | Successful 2022-08-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
None.
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
No MedDRA codes.