U4L-47149-45506

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 221 / VA
Registered: 2022-08-20

Relationship: Child or adolescent in my care
Guardian: ZGP-23762-88746
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2022-08-20
Registered in v-safe
2022-08-20
Dose 1 — Moderna
2022-08-20
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-21
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school

Adult check-in
2022-08-22
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-08-23
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-08-24
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-08-25
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-08-26
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-08-27
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-09-05
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-09-10
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-09-17
Dose 2 — Moderna
2022-09-17
Health check-in — day 0, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough — Feeling: Fair · Fever

Free text: Mild cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — days 1–6 daily, dose 2, dependent
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-22
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough — Feeling: Fair · Chills, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Call 1 — Left Voicemail
2022-09-22
Call successful
Completed over the phone
2022-09-23
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough, Sneezing — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Coughing and sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — day 7, dose 2, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-10-08
Survey response — day 21, dose 2, dependent
MedDRA: Pyrexia, Respiratory tract congestion — Feeling: Good

Free text: Fever of 101 degrees last night and new congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-19
Survey response — 3 months, dose 2, dependent
MedDRA: Nasal congestion, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen nasal passages. Fever Friday night through Saturday night.

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Report sent to call center — 3 months, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-20
Call 1 — Left Voicemail
2023-03-19
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-08-20	Moderna	No
2	2022-09-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-21	Successful 2022-09-22	Completed over the phone
2022-12-19	Unsuccessful

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-09-19

Systemic reaction (other): Mild cough

2022-09-20

Systemic reaction (other): Cough and runny nose

2022-09-21

Systemic reaction (other): Cough

2022-09-22

Systemic reaction (other): Cough

2022-09-23

Systemic reaction (other): Coughing and sneezing

Release 12 — day 7, dose 2, dependent

2022-09-24

Systemic reaction (other): Cough and runny nose

Release 12 — day 21, dose 2, dependent

2022-10-08

Symptoms: Fever of 101 degrees last night and new congestion

Release 12 — 3 months, dose 2, dependent

2022-12-19

Symptoms: Swollen nasal passages. Fever Friday night through Saturday night.

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	Nasal congestion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Cough	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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