RV5-16205-96428
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 805 / CO
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- Q3H-24053-36126
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
-
2022-06-27
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-28
- 2022-06-30
- 2022-07-01
- 2022-07-04
-
2022-07-11
Survey response — day 14, dose 1, dependentMedDRA: Nasopharyngitis, Productive cough — Feeling: GoodFree text: Cold with a productive coughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
-
2022-07-26
Survey response — day 28, dose 1, dependentMedDRA: Productive cough — Feeling: Fair · Be unable to work or attend schoolFree text: Productive coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Survey response — 3 months, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: She got covidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Survey response — 6 months, dose 1, dependentMedDRA: Pyrexia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Prolonged fever · Healthcare visit (other): Children's hospital refferal to infectious disease departmentMedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — 6 months, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-29
-
2022-12-30
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Cold with a productive cough
Release 12 — day 28, dose 1, dependent
Symptoms: Productive cough
Release 12 — 3 months, dose 1, dependent
Symptoms: She got covid
Release 12 — 6 months, dose 1, dependent
Symptoms: Prolonged fever
Healthcare visit (other): Children's hospital refferal to infectious disease department
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 | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release