S7Q-70974-33497
2 vaccinations
4 coded responses
21 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 802 / CO
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 6DW-30435-52273
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Site: Pain · Fever · Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-06-30
- 2022-07-02
- 2022-07-03
- 2022-07-04
-
2022-07-11
Survey response — day 14, dose 1, under 3MedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: FeverMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
- 2022-07-25
-
2022-07-26
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-29
- 2022-07-30
- 2022-08-01
-
2022-08-02
Health check-in — day 7, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-08-09
-
2022-08-16
Survey response — day 21, dose 2, under 3MedDRA: Ear infection, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus/ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Report sent to call center — day 21, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-17
- 2022-08-23
-
2022-08-23
Call successfulCompleted over the phone
- 2022-08-30
- 2022-09-06
-
2022-10-26
Survey response — 3 months, dose 2, under 3MedDRA: Adenovirus infection, Enterovirus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Adenovirus Rhino/enterovirusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 3 months, dose 2, under 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-10-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-25
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-16 | Successful 2022-08-23 |
Completed over the phone |
| 2022-10-26 | Successful 2022-10-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Fever
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Sinus/ear infection
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Adenovirus Rhino/enterovirus
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 | Adenovirus infection | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Enterovirus infection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release