UPU-26134-39903
2 vaccinations
4 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 038 / NH
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 3QG-22969-17516
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
- 2022-06-29
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-01
Survey response — day 7, dose 1, under 3MedDRA: Nasal congestion — Feeling: Good · Irritability/cryingFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Survey response — day 14, dose 1, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Fever, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-07-15
- 2022-07-22
- 2022-07-29
-
2022-07-30
Dose 2 — Moderna
- 2022-08-05
- 2022-08-06
- 2022-08-13
- 2022-08-22
- 2022-08-27
-
2022-09-03
Survey response — day 35, dose 2, under 3MedDRA: Cough, Nasal congestion — Feeling: FairFree text: Cough, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-10-29
-
2023-01-28
Survey response — 6 months, dose 2, under 3MedDRA: Conjunctivitis viral, Ear infection, Office visit, Pyrexia, Respiratory tract congestion — 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 professionalMedDRA releases: 2024-11
-
2023-01-28
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2023-01-30
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 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-28 | Successful 2023-01-30 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Stuffy nose
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Fever, cough, congestion
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Cough, nasal congestion
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Conjunctivitis viral | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release