W9T-10651-78416

2 vaccinations 8 coded responses 15 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 871 / NM
Registered: 2022-07-15

Relationship: Child or adolescent in my care
Guardian: 66G-32728-00629
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2022-07-08
Dose 1 — Moderna
2022-07-15
Registered in v-safe
2022-07-15
Health check-in — day 7, dose 1, under 3
Feeling: Good · Sleepiness

Under 3 check-in
2022-07-22
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-29
Survey response — day 21, dose 1, under 3
MedDRA: Exposure to SARS-CoV-2, Nasal congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nasal congestion, runny nose. Has COVID exposure at daycare this week.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Report sent to call center — day 21, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-01
Call 1 — Left Voicemail
2022-08-05
Survey response — day 28, dose 1, under 3
MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school

Free text: Drippy nose URI, COVID test negative x20

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Dose 2 — Moderna
2022-08-12
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-08-13
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-08-15
Survey response — day 7, dose 2, under 3
MedDRA: Respiratory tract congestion — Feeling: Poor · Fever · Irritability/crying, Loss of appetite

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Survey response — day 14, dose 2, under 3
MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: URI

MedDRA releases: 2024-11 · check-in free text available
2022-08-29
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-07
Survey response — day 28, dose 2, under 3
MedDRA: Blood lead increased, Medical counselling, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash over belly and back. Got call from pediatrician the lead levels elevated so she wants to retest next week.

MedDRA releases: 2024-11 · check-in free text available
2022-09-07
Report sent to call center — day 28, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-08
Call 2 — Left Voicemail
2022-09-08
Call 1 — Left Voicemail
2022-09-08
Call successful
Participant prefers to complete VAERS report online
2022-09-08
Call successful
Participant prefers to complete VAERS report online
2022-09-12
Survey response — day 35, dose 2, under 3
MedDRA: Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — day 42, dose 2, under 3
MedDRA: Ear infection, Respiratory syncytial virus bronchiolitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: RSV bronchiolitis and ear infection

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — day 42, dose 2, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-07
Health check-in — 3 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-02-06
Survey response — 6 months, dose 2, under 3
MedDRA: Respiratory tract congestion, Wheezing — 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

MedDRA releases: 2024-11
2023-02-06
Report sent to call center — 6 months, dose 2, 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)
2023-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-08	Moderna	No
2	2022-08-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-29	Successful 2022-09-08	Participant prefers to complete VAERS report online
2022-09-07	Successful 2022-09-08	Participant prefers to complete VAERS report online
2022-09-21	Successful 2022-09-22	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-06	Unsuccessful

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-29

Symptoms: Nasal congestion, runny nose. Has COVID exposure at daycare this week.

Release 12 (Under 3) — day 28, dose 1, under 3

2022-08-05

Symptoms: Drippy nose URI, COVID test negative x20

Release 12 (Under 3) — day 7, dose 2, under 3

2022-08-15

Systemic reaction (other): Congestion

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-22

Symptoms: URI

Release 12 (Under 3) — day 28, dose 2, under 3

2022-09-07

Symptoms: Rash over belly and back. Got call from pediatrician the lead levels elevated so she wants to retest next week.

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

2022-09-12

Symptoms: Vomiting

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-21

Symptoms: RSV bronchiolitis and ear infection

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	Blood lead increased	·	·	✓
SD	Ear infection	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory syncytial virus bronchiolitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Vomiting	·	·	✓
SD	Wheezing	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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