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
-
2022-12-13
Registered in v-safe
-
2022-12-13
Dose 1 — ModernaCo-administered: Flu:Hib:Rotavirus:Tetanus
- 2022-12-13
-
2022-12-14
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-12-15
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough — Feeling: Fair · FeverFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Survey response — days 1–6 daily, dose 1, under 3MedDRA: 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 consultationFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — days 1–6 daily, dose 1, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-18
Survey response — days 1–6 daily, dose 1, under 3MedDRA: 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 visitFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — days 1–6 daily, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-19
- 2022-12-19
- 2023-01-05
-
2023-01-10
Dose 2 — Moderna
- 2023-01-10
-
2023-01-12
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/crying, DiarrheaUnder 3 check-in
- 2023-01-14
- 2023-01-15
- 2023-02-02
- 2023-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-12-13 | Moderna | Flu:Hib:Rotavirus:Tetanus |
| 2 | 2023-01-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-17 | Unsuccessful | |
| 2022-12-18 | Unsuccessful |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Coughing
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Coughing
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release