TNE-11971-04782

3 vaccinations 3 coded responses 38 check-ins 3 free-text entries 2 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 201 / VA
Registered: 2022-06-21

Relationship: Child or adolescent in my care
Guardian: VRA-21570-00730
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-21
Registered in v-safe
2022-06-21
Dose 1 — Moderna
2022-06-21
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-22
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-05
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-26
Health check-in — day 35, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-02
Health check-in — day 42, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-09
Dose 2 — Moderna
2022-08-09
Health check-in — day 0, dose 2, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-08-10
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Gave Tylenol before symptoms so fever is with Tylenol

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain, Swelling, Itching · Nausea, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-08-11
Report sent to call center — days 1–6 daily, dose 2, dependent
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-12
Call successful
Participant prefers to complete VAERS report online
2022-08-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-08-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-16
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-23
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-30
Survey response — day 21, dose 2, dependent
MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold, bad cough.

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-20
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-11-08
Survey response — 3 months, dose 2, dependent
MedDRA: Malaise, Nasopharyngitis, Office visit, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Random sickness. Cold, virus · Healthcare visit (other): Pediatrician visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — 3 months, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-11-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-28
Dose 3 — Moderna
2022-12-28
Health check-in — day 0, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-29
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-12-30
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Swelling · None

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Swelling · None

Adult check-in
2023-01-03
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2023-01-04
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2023-01-11
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-18
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-25
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-01
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-08
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-06-28
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-21	Moderna	No
2	2022-08-09	Moderna	No
3	2022-12-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-11	Successful 2022-08-12	Participant prefers to complete VAERS report online
2022-11-08	Successful 2022-11-09	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 2, dependent

2022-08-10

Systemic reaction (other): Gave Tylenol before symptoms so fever is with Tylenol

Release 12 — day 21, dose 2, dependent

2022-08-30

Symptoms: Cold, bad cough.

Release 12 — 3 months, dose 2, dependent

2022-11-08

Symptoms: Random sickness. Cold, virus

Healthcare visit (other): Pediatrician visit

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Viral infection	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release