UQ9-18125-40847
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 908 / CA
- Registered
- 2022-06-20
- Relationship
- Child or adolescent in my care
- Guardian
- X8C-17143-25291
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-20
Registered in v-safe
-
2022-07-18
Dose 1 — Moderna
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
-
2022-08-03
Survey response — day 14, dose 1, dependentMedDRA: Eye discharge — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Mucous from eyeMedDRA releases: 2024-11 · check-in free text available
-
2022-08-03
Report sent to call center — day 14, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-04
-
2022-08-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-10
-
2022-08-15
Dose 2 — Moderna
- 2022-08-15
- 2022-08-16
- 2022-08-17
- 2022-08-18
-
2022-08-19
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-20
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Survey response — day 7, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-11-16
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-18 | Moderna | No |
| 2 | 2022-08-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-03 | Successful 2022-08-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Mucous from eye
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Runny nose, cough
Systemic reaction (other): Runny nose, cough
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Runny nose, cough
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 | Eye discharge | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release