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USJ-21495-90421

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
940 / CA
Registered
2022-12-13
Relationship
Child or adolescent in my care
Guardian
2WY-15683-72774
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-12-13
    Registered in v-safe
  2. 2022-12-13
    Dose 1 — Moderna
    Co-administered: Flu:Hib:Rotavirus:Tetanus
  3. 2022-12-13
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-12-14
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Irritability/crying
    Under 3 check-in
  5. 2022-12-15
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough — Feeling: Fair · Fever
    Free text: Coughing
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-12-16
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activities
    Free text: Cough and congestion
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-12-17
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Coughing
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-12-17
    Report sent to call center — days 1–6 daily, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  9. 2022-12-18
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Cough — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite, Diarrhea · 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
  10. 2022-12-18
    Report sent to call center — days 1–6 daily, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-12-19
  12. 2022-12-19
  13. 2023-01-05
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-01-10
    Dose 2 — Moderna
  15. 2023-01-10
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2023-01-12
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Irritability/crying, Diarrhea
    Under 3 check-in
  17. 2023-01-14
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2023-01-15
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2023-02-02
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2023-02-07
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-12-13Moderna Flu:Hib:Rotavirus:Tetanus
22023-01-10Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-17 Unsuccessful
2022-12-18 Unsuccessful

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-12-15

Systemic reaction (other): Coughing

2022-12-16

Systemic reaction (other): Cough and congestion

2022-12-17

Systemic reaction (other): Coughing

2022-12-18

Systemic reaction (other): 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

FieldPreferred term2021-092023-042024-11
SROCough · · ✓
SRORespiratory tract congestion · · ✓

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