T99-48870-54837
3 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 210 / MD
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 5GC-24221-20339
- Race
- Black or African American
- 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: Fair · Site: Pain · Fever · NoneUnder 3 check-in
- 2022-06-29
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
-
2022-07-11
Survey response — day 14, dose 1, under 3MedDRA: Cough, Respiratory symptom, Rhinorrhoea — Feeling: FairFree text: Cough and runny nose - URI symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
- 2022-07-25
-
2022-07-26
Dose 2 — Moderna
- 2022-07-26
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-07-28
- 2022-07-29
-
2022-07-30
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
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)
- 2022-07-31
-
2022-08-01
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Nasal congestion, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Fair · FeverFree text: Still URI symptoms - nasal congestion, cough, etc but COVID testing negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-01
- 2022-08-02
-
2022-08-02
Call successfulCompleted over the phone
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-09-08
- 2022-10-25
- 2023-01-24
-
2023-02-28
Dose 3 — Moderna
-
2023-03-02
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Pain, Redness · NoneUnder 3 check-in
- 2023-03-03
- 2023-03-04
- 2023-03-05
- 2023-03-06
- 2023-03-07
- 2023-03-14
- 2023-03-21
- 2023-03-28
- 2023-04-04
- 2023-04-11
- 2023-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
| 3 | 2023-02-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-30 | Successful 2022-08-02 |
Completed over the phone |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Cough and runny nose - URI symptoms
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Runny nose, congestion, cough
Systemic reaction (other): Still URI symptoms - nasal congestion, cough, etc but COVID testing negative.
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 | Cough | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Respiratory symptom | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release