TW5-78399-24046
3 vaccinations
9 coded responses
32 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 210 / MD
- Registered
- 2022-09-29
- Relationship
- Child or adolescent in my care
- Guardian
- XT8-13504-59543
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-29
Registered in v-safe
-
2022-09-29
Dose 1 — Moderna
-
2022-09-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, Loss of appetiteUnder 3 check-in
- 2022-10-01
- 2022-10-03
- 2022-10-05
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 21, dose 1, under 3MedDRA: Diarrhoea, Nasal congestion, Pyrexia — Feeling: FairFree text: She had fever, stuffy nose, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
-
2022-11-03
Dose 2 — Moderna
- 2022-11-03
- 2022-11-04
- 2022-11-05
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
-
2022-11-17
Survey response — day 14, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
- 2022-12-01
- 2022-12-08
-
2023-02-02
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection, Influenza, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-07
Dose 3 — Moderna
-
2023-03-08
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Nasal congestion — Feeling: Fair · Fever · Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection siteMedDRA releases: 2024-11
-
2023-03-09
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Nasal congestion — Feeling: Fair · Fever · Irritability/cryingMedDRA releases: 2024-11
- 2023-03-10
-
2023-03-11
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
-
2023-03-13
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
-
2023-03-16
Survey response — day 7, dose 3, under 3MedDRA: Pyrexia — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · 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
-
2023-03-16
Report sent to call center — day 7, dose 3, 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)
- 2023-03-17
-
2023-03-21
Survey response — day 14, dose 3, under 3MedDRA: Pyrexia, Roseola — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-03-28
- 2023-04-04
- 2023-04-11
- 2023-04-18
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-29 | Moderna | No |
| 2 | 2022-11-03 | Moderna | No |
| 3 | 2023-03-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-16 | Unsuccessful |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: She had fever, stuffy nose, diarrhea
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Cold like symptoms
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 | Diarrhoea | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Roseola | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release