RSR-21440-79905
3 vaccinations
7 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 685 / NE
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- 7PG-49656-80881
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: loose stoolsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Diarrhoea, Faeces pale — Feeling: Good · Site: PainFree text: Pale, loose stoolsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pain in extremity — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: Foot painMedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
-
2022-07-22
Survey response — day 28, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-29
- 2022-08-05
-
2022-08-12
Survey response — day 21, dose 2, dependentMedDRA: Fatigue, Respiratory tract congestion — Feeling: GoodFree text: Congestion, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-26
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Productive cough, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, productive coughMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 3 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-30
Dose 3 — Moderna
-
2023-01-20
Survey response — 6 months, dose 2, dependentMedDRA: Fatigue, Headache, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-31
- 2023-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2022-12-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): loose stools
Systemic reaction (other): Pale, loose stools
Systemic reaction (other): Foot pain
Release 12 — day 28, dose 1, dependent
Symptoms: Runny nose
Release 12 — day 21, dose 2, dependent
Symptoms: Congestion, fatigue
Release 12 — 3 months, dose 2, dependent
Symptoms: Runny nose, productive cough
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Faeces pale | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release