XZ4-11202-11055
3 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 6M6-12172-92606
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-07-08
Dose 1 — Moderna
-
2022-07-09
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Good · SleepinessMedDRA releases: 2024-11 · check-in answers available
- 2022-07-10
- 2022-07-11
- 2022-07-13
- 2022-07-14
-
2022-07-15
Health check-in — 7 day, dose 1, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-22
-
2022-07-29
Survey response — 21 day, dose 1, under 3MedDRA: Decreased appetite, Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion, Somnolence — Feeling: Poor · 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 · check-in answers available
-
2022-07-29
Report sent to call center — 21 day, 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)
- 2022-08-01
-
2022-08-04
Call successfulParticipant prefers to complete VAERS report online
-
2022-08-05
Dose 2 — Moderna
-
2022-08-05
Health check-in — 0 day, dose 2, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-12
-
2022-08-19
Survey response — 14 day, dose 2, under 3MedDRA: Vomiting — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2022-08-27
- 2022-09-02
-
2022-09-09
Survey response — 35 day, dose 2, under 3MedDRA: Eye swelling, Lacrimation increased, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-09-09
Report sent to call center — 35 day, dose 2, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-12
-
2022-09-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-16
Survey response — 42 day, dose 2, under 3MedDRA: Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-11-06
Survey response — 3 month, dose 2, under 3MedDRA: Cough, Pyrexia, Somnolence — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-12-21
Dose 3 — Moderna
- 2023-02-03
- 2023-03-22
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-08 | Moderna | No |
| 2 | 2022-08-05 | Moderna | No |
| 3 | 2022-12-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-29 | Successful 2022-08-04 |
Participant prefers to complete VAERS report online |
| 2022-09-09 | Successful 2022-09-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3)
Systemic reaction (other): Some runny nose and coughing, but guessing that is unrelated to vaccine
Symptoms: Fever up to 102, congestion, sleepiness, reduced appetite. Diagnosed with RSV on day 4 of fever.
Symptoms: Vomited twice on Sunday 8/14/22
Symptoms: Swollen and watery right eye and slightly runny nose
Symptoms: Unclear whether he has a low grade fever tonight. Came home from daycare possibly scared of the heavy rain (hasn't seen it for a few months) and wasnt interested in normal things he loves and instead opted to sleep 2+ hours earlier than normal bedtim cut off by CDC
Symptoms: Had a fever for 2 days and cough. Was very sleepy but better after 3 days with minimal medication and no doctor visit.
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release