R5D-32313-04818
2 vaccinations
2 coded responses
25 check-ins
1 free-text entry
5 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- ZDR-35789-90046
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-08-06
Dose 1 — Moderna
- 2022-08-06
- 2022-08-07
- 2022-08-08
-
2022-08-09
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-08-10
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-11
- 2022-08-12
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-09-03
-
2022-09-04
Dose 2 — Moderna
-
2022-09-05
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-09-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-09-07
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite, Vomiting · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationUnder 3 check-in
-
2022-09-07
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-09-08
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2022-09-08
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-08
-
2022-09-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-09
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite, Vomiting, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationUnder 3 check-in
-
2022-09-09
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-09-10
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitUnder 3 check-in
-
2022-09-10
Report sent to call center — days 1–6 daily, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-11
Health check-in — day 7, dose 2, under 3Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-09-12
- 2022-09-12
- 2022-09-12
- 2022-09-20
- 2022-09-25
-
2022-10-02
Survey response — day 28, dose 2, under 3MedDRA: Nasopharyngitis, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bad cold, feverMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Report sent to call center — day 28, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-03
- 2022-10-03
- 2022-10-03
- 2022-10-03
- 2022-10-09
- 2022-10-16
- 2022-12-04
-
2023-03-07
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-06 | Moderna | No |
| 2 | 2022-09-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-07 | Successful 2022-09-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-08 | Unsuccessful | |
| 2022-09-09 | Unsuccessful | |
| 2022-09-10 | Unsuccessful | |
| 2022-10-02 | Unsuccessful |
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Bad cold, fever
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release