PCR-23107-34646
2 vaccinations
1 coded response
17 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 117 / NY
- Registered
- 2022-07-15
- Relationship
- Child or adolescent in my care
- Guardian
- 4YC-33711-83953
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-14
Dose 1 — Moderna
-
2022-07-15
Registered in v-safe
-
2022-07-15
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Site: Pain · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-16
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Office visit, SARS-CoV-2 test positive — Feeling: Fair · Fever · Sleepiness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Tested covid positive · Healthcare visit (other): PediatricianMedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
Report sent to call center — days 1–6 daily, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-07-17
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-18
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-07-18
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-19
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-20
- 2022-07-21
- 2022-07-28
- 2022-08-07
-
2022-08-11
Dose 2 — Moderna
- 2022-08-18
- 2022-08-25
- 2022-09-03
- 2022-09-10
- 2022-09-17
- 2022-09-22
- 2022-11-12
- 2023-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-14 | Moderna | No |
| 2 | 2022-08-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-16 | Successful 2022-07-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release