XV6-22862-85335
3 vaccinations
9 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 191 / PA
- Registered
- 2022-07-24
- Relationship
- Child or adolescent in my care
- Guardian
- YPK-13909-59239
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Dose 1 — Moderna
-
2022-07-24
Registered in v-safe
- 2022-07-24
-
2022-07-28
Survey response — 28 day, dose 1, under 3MedDRA: Irritability, Somnolence — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-08-04
Dose 2 — Moderna
-
2022-08-05
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Irritability — Feeling: Good · Irritability/cryingMedDRA releases: 2024-11 · check-in answers available
- 2022-08-06
- 2022-08-08
- 2022-08-09
-
2022-08-13
Survey response — 7 day, dose 2, under 3MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — 28 day, dose 2, under 3MedDRA: Irritability, Middle insomnia — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-09-08
- 2022-09-17
- 2022-11-03
-
2023-02-04
Survey response — 6 month, dose 2, under 3MedDRA: Conjunctivitis, Eye infection, Gastroenteritis viral, Infection, Pyrexia, SARS-CoV-2 test negative, Viral infection, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-02-04
Report sent to call center — 6 month, 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)
- 2023-02-06
-
2023-02-14
Dose 3 — ModernaCo-administered: Hib:Pneumonia:Tetanus
-
2023-02-16
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Cough, Ear infection, Rhinorrhoea — Feeling: Fair · Site: Redness, Swelling/hardness · Fever · Loss of appetiteMedDRA releases: 2024-11 · check-in answers available
-
2023-02-17
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Cough, Ear infection, Rhinorrhoea — Feeling: Good · Site: Redness, Swelling/hardness · Loss of appetite · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
-
2023-02-20
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Cough, Ear infection, Rhinorrhoea — Feeling: Good · Site: Swelling/hardnessMedDRA releases: 2024-11 · check-in answers available
-
2023-02-21
Survey response — 7 day, dose 3, under 3MedDRA: Cough, Ear infection, Rhinorrhoea — Feeling: Good · Site: Swelling/hardnessMedDRA releases: 2024-11 · check-in answers available
- 2023-02-28
- 2023-03-07
- 2023-03-14
- 2023-03-23
- 2023-03-28
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-08-04 | Moderna | No |
| 3 | 2023-02-14 | Moderna | Hib:Pneumonia:Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-04 | Unsuccessful |
Free text
Release 12 (Under 3)
Symptoms: Better than fair, but not great. Slightly more irritability & sleepiness today than usual. Eating well though. May be related to teething or a virus as I have also been less than 100% (with no fever & negative rapid tests).
Systemic reaction (other): Irritability is probably at or just above baseline
Systemic reaction (other): I did not receive the text reminders the last few days. He has been good with nothing to report.
Symptoms: Some additional irritability and multiple waking periods, almost certainly associated with an age appropriate leap / 10-month sleep regression
Free-text releases are not linked to a specific 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 | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Ear infection | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release