OpenVSafe by OpenVAERS
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VT4-33663-90621

1 vaccination 3 coded responses 10 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
VPV-22796-91166
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Moderna
  2. 2022-06-26
    Registered in v-safe
  3. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-28
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Mysterious mild rash around collarbone area developed the following day after injection. Lasted for about 24hrs, now gone
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-01
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-08
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-17
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-09-25
    Survey response — 3 months, dose 1, under 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Upper respiratory tract infection — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Back to back URI / cold viruses. Both times tested for Covid, both times negative.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-09-25
    Report sent to call center — 3 months, dose 1, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-09-26
  13. 2022-12-23
    Survey response — 6 months, dose 1, under 3
    MedDRA: Influenza — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Influenza A. 10 days
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-12-23
    Report sent to call center — 6 months, dose 1, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-12-27
  16. 2022-12-27
  17. 2023-06-24
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-09-25 Unsuccessful
2022-12-23 Unsuccessful

Free text

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

2022-06-28

Systemic reaction (other): Mysterious mild rash around collarbone area developed the following day after injection. Lasted for about 24hrs, now gone

Release 12 (Under 3) — 3 months, dose 1, under 3

2022-09-25

Symptoms: Back to back URI / cold viruses. Both times tested for Covid, both times negative.

Release 12 (Under 3) — 6 months, dose 1, under 3

2022-12-23

Symptoms: Influenza A. 10 days

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
SDInfluenza · · ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract infection · · ✓
SRORash · · ✓

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