U5R-17863-28019

3 vaccinations 5 coded responses 32 check-ins 1 free-text entry 4 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 972 / OR
Registered: 2022-08-11

Relationship: Child or adolescent in my care
Guardian: 369-83887-49966
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-08-11
Registered in v-safe
2022-08-11
Dose 1 — Moderna
2022-08-11
Health check-in — day 0, dose 1, under 3
Feeling: Fair · Site: Pain · Sleepiness, Irritability/crying

Under 3 check-in
2022-08-12
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Site: Redness · None

Under 3 check-in
2022-08-13
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Diarrhea

Under 3 check-in
2022-08-14
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Irritability/crying

Under 3 check-in
2022-08-15
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Sleepiness

Under 3 check-in
2022-08-16
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-17
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-08-18
Health check-in — day 7, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-08-25
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-09-01
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-09-08
Dose 2 — Moderna
2022-09-08
Health check-in — day 0, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-09-09
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Site: Redness · Fever · None

Under 3 check-in
2022-09-10
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Site: Redness · Fever · Sleepiness

Under 3 check-in
2022-09-11
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Site: Redness · Sleepiness, Irritability/crying

Under 3 check-in
2022-09-12
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-09-13
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-09-17
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-09-22
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-29
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-08
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-13
Survey response — day 35, dose 2, under 3
MedDRA: Teething — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Teething and possible ear infection. I doubt it's related to vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 35, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-14
Call 1 — Requested Callback
2022-10-17
Callback requested for
04:00PM ET
2022-10-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — day 42, dose 2, under 3
Feeling: Fair

Under 3 check-in
2022-12-10
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-12-28
Dose 3 — Moderna
2023-01-03
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2023-01-06
Health check-in — day 7, dose 3, under 3
Feeling: Good · None

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

Under 3 check-in
2023-01-20
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-01-25
Survey response — day 28, dose 3, under 3
MedDRA: Cough, Pyrexia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-25
Report sent to call center — day 28, dose 3, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-26
Call 1 — Left Voicemail
2023-02-01
Survey response — day 35, dose 3, under 3
MedDRA: Nasopharyngitis — Feeling: Poor · 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 visit

MedDRA releases: 2024-11
2023-02-01
Report sent to call center — day 35, dose 3, under 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-02
Call 2 — Left Voicemail
2023-02-02
Call 1 — Left Voicemail
2023-02-09
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-04-04
Survey response — 3 months, dose 3, under 3
MedDRA: Illness — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-04
Report sent to call center — 3 months, dose 3, under 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-05
Call 3 — Left Voicemail
2023-04-05
Call 2 — Left Voicemail
2023-04-05
Call 1 — Left Voicemail
2023-06-28
Survey response — 6 months, dose 3, under 3
MedDRA: COVID-19, Frequent bowel movements, Gastroenteritis viral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-08-11	Moderna	No
2	2022-09-08	Moderna	No
3	2022-12-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-13	Successful 2022-10-17	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-25	Unsuccessful
2023-02-01	Unsuccessful
2023-04-04	Unsuccessful

Free text

Release 12 (Under 3) — day 35, dose 2, under 3

2022-10-13

Symptoms: Teething and possible ear infection. I doubt it's related to vaccination.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Frequent bowel movements	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Teething	·	·	✓

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