WTN-16866-31131
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 300 / GA
- Registered
- 2022-07-25
- Relationship
- Child or adolescent in my care
- Guardian
- TZM-24514-67056
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-22
Dose 1 — Moderna
-
2022-07-25
Registered in v-safe
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
-
2022-08-25
Dose 2 — Moderna
-
2022-08-28
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Lacrimation increased, Rhinorrhoea — Feeling: Poor · Fever · Irritability/cryingFree text: runny nose and watery eyesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-29
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Lacrimation increased, Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesFree text: Runny nose, watery eyes and sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: Fair · Irritability/crying · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-31
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Irritability/crying · Be unable to work or attend schoolFree text: Runny nose and coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Survey response — day 7, dose 2, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Irritability/crying · Be unable to work or attend schoolFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
-
2022-11-24
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection, Nasopharyngitis — 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 visitFree text: Ear infection. Bad cold.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-24
Report sent to call center — 3 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-25
-
2022-11-29
Call successfulParticipant prefers to complete VAERS report online
- 2023-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-22 | Moderna | No |
| 2 | 2022-08-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): runny nose and watery eyes
Systemic reaction (other): Runny nose, watery eyes and sneezing
Systemic reaction (other): Runny nose
Systemic reaction (other): Runny nose and coughing
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Runny nose and cough
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Ear infection. Bad cold.
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release