QA6-18398-12397
2 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 212 / MD
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- VWK-54661-42702
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-09
- 2022-07-14
-
2022-07-21
Dose 2 — Moderna
- 2022-07-23
- 2022-07-28
-
2022-08-18
Survey response — day 28, dose 2, dependentMedDRA: Gastroenteritis viral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach virus · Healthcare visit (other): Doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — day 28, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2022-08-19
- 2022-09-01
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-18 | Unsuccessful |
Free text
Release 12 — day 28, dose 2, dependent
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 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release