U4B-78148-58421
3 vaccinations
2 coded responses
26 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2022-11-29
- Relationship
- Child or adolescent in my care
- Guardian
- UV8-17941-20254
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-28
Dose 1 — ModernaCo-administered: Flu:Pneumonia:Rotavirus:Tetanus
-
2022-11-29
Registered in v-safe
- 2022-11-29
- 2022-11-30
- 2022-12-01
- 2022-12-02
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2022-12-26
-
2022-12-28
Dose 2 — Moderna
- 2023-01-02
- 2023-01-03
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
-
2023-02-08
Survey response — day 42, dose 2, under 3MedDRA: Nasopharyngitis, Viral infection — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-03-03
Dose 3 — ModernaCo-administered: Do not remember
- 2023-03-09
- 2023-03-10
- 2023-03-17
- 2023-03-26
- 2023-03-31
- 2023-04-07
-
2023-04-14
Survey response — day 42, dose 3, under 3MedDRA: Food allergy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-14
Report sent to call center — day 42, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-17
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-28 | Moderna | Flu:Pneumonia:Rotavirus:Tetanus |
| 2 | 2022-12-28 | Moderna | No |
| 3 | 2023-03-03 | Moderna | Do not remember |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-14 | Unsuccessful |
Free text
None.
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 | Food allergy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release