S89-33154-11446
3 vaccinations
5 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 805 / CO
- Registered
- 2022-06-20
- Relationship
- Child or adolescent in my care
- Guardian
- 29G-15723-06907
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-20
Registered in v-safe
-
2022-08-05
Dose 1 — Moderna
- 2022-08-17
- 2022-08-19
- 2022-08-26
- 2022-09-02
-
2022-09-07
Dose 2 — Moderna
- 2022-09-09
-
2022-09-10
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-09-11
-
2022-09-12
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Cough, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-14
Survey response — day 7, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-28
- 2022-10-06
- 2022-10-13
- 2022-10-19
- 2022-12-07
-
2023-01-21
Dose 3 — Moderna
- 2023-01-24
- 2023-01-25
- 2023-01-26
- 2023-01-27
- 2023-01-28
- 2023-02-04
-
2023-02-11
Survey response — day 21, dose 3, dependentMedDRA: Abdominal pain, Cough, Fatigue, Pyrexia — 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 visitMedDRA releases: 2024-11
-
2023-02-11
Report sent to call center — day 21, dose 3, dependentBe 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)
- 2023-02-13
- 2023-02-18
- 2023-02-27
-
2023-03-06
Survey response — day 42, dose 3, dependentMedDRA: Enuresis, Pollakiuria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-06
Report sent to call center — day 42, dose 3, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-07
- 2023-03-07
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-05 | Moderna | No |
| 2 | 2022-09-07 | Moderna | No |
| 3 | 2023-01-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-11 | Unsuccessful | |
| 2023-03-06 | Unsuccessful |
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sore throat
Systemic reaction (other): Cough, runny nose
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Cough and congestion
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 | Abdominal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Enuresis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release