U4S-70903-01347
1 vaccination
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 206 / MD
- Registered
- 2022-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- YL7-16338-73061
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Dose 1 — Moderna
-
2022-07-01
Registered in v-safe
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-07-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-05
-
2022-07-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fever · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-07
- 2022-07-14
-
2022-07-21
Survey response — day 21, dose 1, dependentMedDRA: Headache, Nausea, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Headache, fever, nausea vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Report sent to call center — day 21, dose 1, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-07-22
-
2022-07-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-21 | Successful 2022-07-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Headache, fever, nausea vomiting
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 | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release