QL2-74148-64616
2 vaccinations
1 coded response
2 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 209 / MD
- Registered
- 2023-04-01
- Relationship
- Child or adolescent in my care
- Guardian
- 2ZE-85437-91533
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-01-20
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Other:Pneumonia:Tetanus
-
2023-02-17
Dose 2 — ModernaCo-administered: Flu:Hib:Rotavirus
-
2023-04-01
Registered in v-safe
- 2023-04-01
-
2023-05-22
Survey response — 3 months, dose 2, under 3MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-05-22
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-20 | Moderna | Flu:Hepatitis B:Other:Pneumonia:Tetanus |
| 2 | 2023-02-17 | Moderna | Flu:Hib:Rotavirus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-22 | Successful 2023-05-23 |
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release