QWD-30407-50438
2 vaccinations
1 coded response
3 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 070 / NJ
- Registered
- 2022-09-12
- Relationship
- Child or adolescent in my care
- Guardian
- JA2-50476-20713
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Dose 1 — Moderna
-
2022-07-28
Dose 2 — Moderna
-
2022-09-12
Registered in v-safe
- 2022-09-12
- 2022-10-29
-
2023-01-28
Survey response — 6 months, dose 2, under 3MedDRA: Ear congestion, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-28
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-30
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 | 2022-06-30 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-28 | Successful 2023-01-30 |
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 | Ear congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release