XKR-11485-02356
2 vaccinations
3 coded responses
14 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 605 / IL
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- YZN-21709-44515
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-13
Registered in v-safe
-
2022-08-04
Dose 1 — Moderna
- 2022-08-04
-
2022-08-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-08-06
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
-
2022-08-18
Survey response — day 14, dose 1, under 3MedDRA: Conjunctivitis viral, Ocular hyperaemia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Right eye is red since Sunday. Got worse but is getting ether now. Dr says viral conjunctivitis. My son and I have Covid symptoms and positive tests at the same time but her test was negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — day 14, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-19
-
2022-08-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-25
- 2022-09-08
-
2022-11-05
Survey response — 3 months, dose 1, under 3MedDRA: Cough, Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion, Wheezing — Feeling: Fair · 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: RSV. Fevers for 5 days, congestion, wheezing coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 3 months, dose 1, 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)
- 2022-11-07
-
2022-12-08
Dose 2 — Moderna
-
2023-03-14
Survey response — 3 months, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-04 | Moderna | No |
| 2 | 2022-12-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-18 | Successful 2022-08-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-05 | Unsuccessful |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Right eye is red since Sunday. Got worse but is getting ether now. Dr says viral conjunctivitis. My son and I have Covid symptoms and positive tests at the same time but her test was negative
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: RSV. Fevers for 5 days, congestion, wheezing 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 | Conjunctivitis viral | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release