WQU-24050-77277
3 vaccinations
5 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- 7AD-19466-78323
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-07-01
Dose 1 — Moderna
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
-
2022-07-06
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Nasal congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Might have a cold. Woke up with stuffy nose. Tested neg for COVID on rapidMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Survey response — day 7, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-15
- 2022-07-22
- 2022-07-29
- 2022-08-05
-
2022-08-06
Dose 2 — Moderna
- 2022-08-12
- 2022-08-13
- 2022-08-20
- 2022-08-29
- 2022-09-03
- 2022-09-12
- 2022-09-19
-
2022-11-07
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: (b)(6) has had a couple colds.MedDRA releases: 2024-11 · check-in free text available
-
2023-02-04
Dose 3 — Moderna
- 2023-02-04
- 2023-02-21
- 2023-02-27
- 2023-03-06
- 2023-03-11
- 2023-03-20
-
2023-05-06
Survey response — 3 months, dose 3, under 3MedDRA: Pharyngitis streptococcal — 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 visitMedDRA releases: 2024-11
-
2023-05-06
Report sent to call center — 3 months, dose 3, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-08-06 | Moderna | No |
| 3 | 2023-02-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-06 | Successful 2023-05-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Might have a cold. Woke up with stuffy nose. Tested neg for COVID on rapid
Systemic reaction (other): Runny nose
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Runny nose
Release 12 (Under 3) — 3 months, dose 2, under 3
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 | Pharyngitis streptococcal | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release