W4A-12035-57572

3 vaccinations 5 coded responses 25 check-ins 2 free-text entries 4 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 336 / FL
Registered: 2022-08-10

Relationship: Child or adolescent in my care
Guardian: 7LF-16962-14175
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-08-10
Registered in v-safe
2022-08-10
Dose 1 — Moderna
Co-administered: Polio:Rotavirus:Tetanus
2022-08-10
Health check-in — day 0, dose 1, under 3
Feeling: Fair · Site: Redness · Sleepiness, Irritability/crying

Under 3 check-in
2022-08-11
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Sleepiness, Irritability/crying

Under 3 check-in
2022-08-12
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-13
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-14
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-15
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-17
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-31
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-09-07
Dose 2 — Moderna
Co-administered: Flu
2022-09-07
Health check-in — day 0, dose 2, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-09-08
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Sleepiness, Irritability/crying

Under 3 check-in
2022-09-11
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-09-12
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-09-21
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-01
Survey response — day 21, dose 2, under 3
MedDRA: Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Caught a virus other than Covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — day 21, dose 2, under 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail
2022-10-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-15
Survey response — day 35, dose 2, under 3
MedDRA: Nasopharyngitis, Viral infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: New virus/cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-12-09
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-09
Dose 3 — Moderna
2023-01-19
Health check-in — day 7, dose 3, under 3
Feeling: Fair · Irritability/crying · Be unable to do your normal daily activities

Under 3 check-in
2023-01-23
Health check-in — day 14, dose 3, under 3
Feeling: Fair

Under 3 check-in
2023-01-30
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-02-06
Survey response — day 28, dose 3, under 3
MedDRA: Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-06
Report sent to call center — day 28, dose 3, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-07
Call 1 — Left Voicemail
2023-02-13
Survey response — day 35, dose 3, under 3
MedDRA: Vomiting — Feeling: Poor · 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, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-02-13
Report sent to call center — day 35, dose 3, 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 · Emergency room or emergency department visit · 1 call case(s)
2023-02-14
Call 2 — Left Voicemail
2023-02-14
Call 1 — Left Voicemail
2023-02-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-20
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-04-12
Survey response — 3 months, dose 3, under 3
MedDRA: Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 3 months, dose 3, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-08-10	Moderna	Polio:Rotavirus:Tetanus
2	2022-09-07	Moderna	Flu
3	2023-01-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-01	Successful 2022-10-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-06	Successful 2023-02-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-13	Successful 2023-02-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-12	Successful 2023-04-13	Participant prefers to complete VAERS report online

Free text

Release 12 (Under 3) — day 21, dose 2, under 3

2022-10-01

Symptoms: Caught a virus other than Covid

Release 12 (Under 3) — day 35, dose 2, under 3

2022-10-15

Symptoms: New virus/cold

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	Nasopharyngitis	·	·	✓
SD	Viral infection	·	·	✓
SD	Vomiting	·	·	✓

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