WEJ-11450-85523
2 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 629 / IL
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- WJE-13597-25902
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-07-02
- 2022-07-03
- 2022-07-06
- 2022-07-11
-
2022-07-18
Survey response — day 21, dose 1, dependentMedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Urinary tract infection · Healthcare visit (other): Primary careMedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Report sent to call center — day 21, dose 1, dependentGet care from a doctor or other healthcare professional1 call case(s)
-
2022-07-19
Call successfulNot applicable - Accidental Reporting
- 2022-07-25
-
2022-07-26
Dose 2 — Moderna
- 2022-08-01
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-09-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-18 | Successful 2022-07-19 |
Not applicable - Accidental Reporting |
Free text
Release 12 — day 21, dose 1, dependent
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release