W49-30792-60649
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-07-06
- Relationship
- Child or adolescent in my care
- Guardian
- 7WA-80182-40528
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-01
Dose 1 — Moderna
-
2022-07-06
Registered in v-safe
-
2022-07-06
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Irritability — Feeling: GoodFree text: Fussiness day after shotMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-07-31
-
2022-08-05
Survey response — day 35, dose 1, under 3MedDRA: Cough, Pyrexia — Feeling: FairFree text: Fever and mild cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-14
Survey response — day 42, dose 1, under 3MedDRA: Cough, Ear infection, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection and cough plus feverMedDRA releases: 2024-11 · check-in free text available
-
2022-08-14
Report sent to call center — day 42, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
-
2022-09-02
Dose 2 — Moderna
- 2022-09-22
- 2022-09-23
-
2022-10-02
Survey response — day 28, dose 2, under 3MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Got a cold/coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-15
- 2022-12-02
- 2023-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-09-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-14 | Unsuccessful |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Fussiness day after shot
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Fever and mild cough.
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Ear infection and cough plus fever
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Got a cold/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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release