Q9D-37080-49255
2 vaccinations
3 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 0-4
- ZIP prefix
- 947 / CA
- Registered
- 2022-09-26
- Relationship
- Child or adolescent in my care
- Guardian
- YM9-55514-84255
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2022-09-26
Registered in v-safe
-
2022-10-26
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Hib:Other:Polio:Tetanus
-
2022-11-23
Dose 2 — ModernaCo-administered: Flu
-
2022-12-01
Survey response — day 7, dose 2, under 3MedDRA: Respiratory tract congestion — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — day 7, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-02
-
2022-12-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-12-07
-
2022-12-16
Survey response — day 21, dose 2, under 3MedDRA: Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-21
- 2022-12-30
- 2023-01-04
-
2023-02-22
Survey response — 3 months, dose 2, under 3MedDRA: Respiratory tract congestion — Feeling: FairMedDRA releases: 2024-11
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-26 | Moderna | Flu:Hepatitis B:Hib:Other:Polio:Tetanus |
| 2 | 2022-11-23 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-01 | Successful 2022-12-06 |
Participant prefers to complete VAERS report online |
Free text
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Congestion
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Fever, congestion
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 | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release