WT9-16963-12158
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 086 / NJ
- Registered
- 2022-07-28
- Relationship
- Child or adolescent in my care
- Guardian
- LVY-14141-91045
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-07-22
Dose 2 — Moderna
-
2022-07-28
Registered in v-safe
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
-
2022-10-21
Survey response — 3 months, dose 2, under 3MedDRA: COVID-19, Cough, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid + on Sept 1. Recovered but not has another resp virus and cough (14 days)MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-24
Call successfulParticipant prefers to complete VAERS report online
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Participant prefers to complete VAERS report online |
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Covid + on Sept 1. Recovered but not has another resp virus and cough (14 days)
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 | COVID-19 | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release