V65-33611-83421
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 208 / MD
- Registered
- 2022-07-30
- Relationship
- Child or adolescent in my care
- Guardian
- 3WV-31942-14988
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-30
Registered in v-safe
-
2022-07-30
Dose 1 — Moderna
- 2022-07-30
- 2022-07-31
-
2022-08-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-08-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-06
- 2022-08-13
- 2022-08-20
-
2022-08-27
Survey response — day 28, dose 1, under 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: (b)(6) contracted COVID this weekMedDRA releases: 2024-11 · check-in free text available
-
2022-08-27
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-29
- 2022-09-03
-
2022-09-11
Dose 2 — Moderna
- 2022-09-11
- 2022-09-12
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-25
-
2022-10-02
Survey response — day 21, dose 2, under 3MedDRA: Cough, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Fever and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-30 | Moderna | No |
| 2 | 2022-09-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-27 | Unsuccessful |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Fever and 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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release