WC4-25868-74653
2 vaccinations
1 coded response
12 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 190 / PA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 2QQ-33630-72162
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-24
-
2022-07-20
Dose 2 — Moderna
-
2022-07-20
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Groin or underarm swelling/tenderness · Fever · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Pain, Groin or underarm swelling/tenderness · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-07-22
- 2022-08-12
- 2022-08-17
- 2022-08-27
- 2022-08-31
- 2022-10-19
-
2023-01-19
Survey response — 6 months, dose 2, under 3MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-01-19
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-19 | Unsuccessful |
Free text
None.
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 | Asthma | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release