WHT-43733-47909

2 vaccinations 6 coded responses 24 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 727 / AR
Registered: 2022-11-09

Relationship: Child or adolescent in my care
Guardian: AZS-91722-75896
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-11-08
Dose 1 — Moderna
Co-administered: Flu
2022-11-09
Registered in v-safe
2022-11-09
Survey response — days 1–6 daily, dose 1, under 3
MedDRA: Arthralgia, Pruritus — Feeling: Fair · Site: Pain · Irritability/crying, Loss of appetite

Free text: Itching of the area, knee pain in the same leg that received the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Irritability/crying, Loss of appetite

Under 3 check-in
2022-11-11
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Site: Redness · Irritability/crying, Loss of appetite

Under 3 check-in
2022-11-12
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Irritability/crying, Loss of appetite

Under 3 check-in
2022-11-13
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Site: Pain · Irritability/crying

Under 3 check-in
2022-11-14
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Site: Pain · Sleepiness, Irritability/crying

Under 3 check-in
2022-11-15
Health check-in — day 7, dose 1, under 3
Feeling: Good · Sleepiness, Irritability/crying, Loss of appetite

Under 3 check-in
2022-11-22
Survey response — day 14, dose 1, under 3
MedDRA: Injection site rash, Rash erythematous — Feeling: Good

Free text: Developed a small red rash around the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Survey response — day 21, dose 1, under 3
MedDRA: Diarrhoea, Vomiting — Feeling: Good

Free text: Had vomiting and diarrhea for a few days last week

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Dose 2 — Moderna
2022-12-09
Health check-in — day 0, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-12-10
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Fever · Sleepiness, Irritability/crying

Under 3 check-in
2022-12-11
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Fever · Sleepiness, Irritability/crying

Under 3 check-in
2022-12-12
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Site: Pain · Irritability/crying, Diarrhea

Under 3 check-in
2022-12-13
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Diarrhea

Under 3 check-in
2022-12-14
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying, Diarrhea

Under 3 check-in
2022-12-15
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Irritability/crying, Diarrhea

Under 3 check-in
2022-12-16
Health check-in — day 7, dose 2, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-12-23
Survey response — day 14, dose 2, under 3
MedDRA: Diarrhoea, Eye infection, Eye irritation, Respiratory disorder, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Upper respiratory illness - runny nose, left eye irritation and infection. Also having diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — day 14, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-27
Call 2 — Left Voicemail
2022-12-30
Survey response — day 21, dose 2, under 3
MedDRA: Cough, Upper respiratory tract congestion — Feeling: Fair

Free text: Upper respiratory congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-13
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-01-20
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2023-03-10
Survey response — 3 months, dose 2, under 3
MedDRA: Dysphemia, Epididymitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 3 months, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-13
Call 1 — Left Voicemail
2023-03-13
Call 1 — Left Voicemail
2023-03-13
Call successful
Does not wish to fill out VAERS report
2023-03-13
Call successful
Does not wish to fill out VAERS report
2023-06-09
Health check-in — 6 months, dose 2, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-11-08	Moderna	Flu
2	2022-12-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-23	Successful 2023-03-13	Does not wish to fill out VAERS report
2023-03-10	Successful 2023-03-13	Does not wish to fill out VAERS report

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-11-09

Systemic reaction (other): Itching of the area, knee pain in the same leg that received the vaccine

Release 12 (Under 3) — day 14, dose 1, under 3

2022-11-22

Symptoms: Developed a small red rash around the injection site

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

2022-11-29

Symptoms: Had vomiting and diarrhea for a few days last week

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

2022-12-23

Symptoms: Upper respiratory illness - runny nose, left eye irritation and infection. Also having diarrhea

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

2022-12-30

Symptoms: Upper respiratory congestion, 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	Diarrhoea	·	·	✓
SD	Dysphemia	·	·	✓
SD	Epididymitis	·	·	✓
SD	Eye infection	·	·	✓
SD	Eye irritation	·	·	✓
SD	Injection site rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Pruritus	·	·	✓

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