VRD-13330-70615
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 198 / DE
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 3ZE-17194-07132
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-07
-
2022-07-17
Survey response — day 21, dose 1, under 3MedDRA: Umbilical hernia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Umbilical herniaMedDRA releases: 2024-11 · check-in free text available
-
2022-07-17
Report sent to call center — day 21, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-18
- 2022-07-21
-
2022-07-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-22
Dose 2 — Moderna
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-17 | Successful 2022-07-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Umbilical hernia
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 | Umbilical hernia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release