Y6R-31961-80608
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 303 / GA
- Registered
- 2022-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- P3B-14399-42210
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Moderna
-
2022-07-01
Registered in v-safe
-
2022-07-06
Survey response — day 7, dose 1, under 3MedDRA: Diarrhoea, Vomiting — Feeling: GoodFree text: Couldn't complete the daily checkin because I was out of the country, but (b)(6) experienced fairly severe vomiting and diarrhea Thursday 6/30 and Friday 7/1. Seems likely unrelated since family is also vomiting today.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-11
- 2022-07-18
-
2022-07-25
Survey response — day 28, dose 1, under 3MedDRA: Nasopharyngitis, Office visit, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cold-like symptoms starting on Sunday, negative COVID test on Monday · Healthcare visit (other): Visit to pediatrician for COVID testMedDRA releases: 2024-11 · check-in free text available
-
2022-07-25
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-26
-
2022-08-01
Survey response — day 35, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Cold symptoms, negative PCR test today after parents both tested positive last week.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-08
Survey response — day 42, dose 1, under 3MedDRA: Drooling, Pyrexia, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever and drooling (likely another daycare virus)MedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-12-26
- 2023-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-25 | Unsuccessful |
Free text
Release 12 (Under 3) — day 7, dose 1, under 3
Systemic reaction (other): Couldn't complete the daily checkin because I was out of the country, but (b)(6) experienced fairly severe vomiting and diarrhea Thursday 6/30 and Friday 7/1. Seems likely unrelated since family is also vomiting today.
redacted (b)(6)
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Cold-like symptoms starting on Sunday, negative COVID test on Monday
Healthcare visit (other): Visit to pediatrician for COVID test
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Cold symptoms, negative PCR test today after parents both tested positive last week.
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Fever and drooling (likely another daycare virus)
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Drooling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release