VJF-24839-74089
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 140 / NY
- Registered
- 2022-07-27
- Relationship
- Child or adolescent in my care
- Guardian
- Y33-19352-67623
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-18
Dose 1 — Moderna
-
2022-07-27
Registered in v-safe
- 2022-07-27
- 2022-08-01
- 2022-08-08
- 2022-08-17
-
2022-08-23
Dose 2 — Moderna
-
2022-08-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · SleepinessUnder 3 check-in
- 2022-08-25
- 2022-08-26
- 2022-08-28
- 2022-08-29
- 2022-09-01
- 2022-09-06
- 2022-09-22
- 2022-09-27
-
2022-10-04
Survey response — day 42, dose 2, under 3MedDRA: COVID-19, Febrile convulsion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Febrile seizure, covid-19MedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Report sent to call center — day 42, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-10-05
-
2022-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-22
- 2023-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-18 | Moderna | No |
| 2 | 2022-08-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-04 | Successful 2022-10-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Febrile seizure, covid-19
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 | COVID-19 | · | · | ✓ |
| SD | Febrile convulsion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release