YEF-81875-05182
3 vaccinations
5 coded responses
24 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 982 / WA
- Registered
- 2022-07-06
- Relationship
- Child or adolescent in my care
- Guardian
- 2BS-19183-46382
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-01
Dose 1 — ModernaCo-administered: Do not remember:Polio:Tetanus
-
2022-07-06
Registered in v-safe
-
2022-07-06
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2022-07-07
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-08
-
2022-07-15
Survey response — day 14, dose 1, under 3MedDRA: Injection site swelling — Feeling: GoodFree text: Swelling at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
- 2022-07-31
- 2022-08-05
-
2022-08-07
Dose 2 — Moderna
- 2022-08-12
-
2022-08-13
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-14
- 2022-08-21
- 2022-08-30
-
2022-09-05
Survey response — day 28, dose 2, under 3MedDRA: Ear infection, Office visit, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ear infection, and a fever, but I think it's from swimming. · Healthcare visit (other): In person wellness checkMedDRA releases: 2024-11 · check-in free text available
-
2022-09-05
Report sent to call center — day 28, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-06
-
2022-09-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-11
- 2022-09-18
-
2022-11-08
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis, Urticaria — Feeling: GoodFree text: Just experienced a cold and random hives. We haven't yet determined what causes the hives.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-05
-
2023-02-23
Dose 3 — Moderna
-
2023-03-04
Survey response — day 7, dose 3, under 3MedDRA: Cough, SARS-CoV-2 test positive — Feeling: Fair · Irritability/crying, Loss of appetite · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-04
Report sent to call center — day 7, dose 3, under 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-03-06
Call successfulCompleted over the phone
- 2023-03-09
- 2023-03-16
- 2023-03-23
- 2023-04-03
- 2023-04-06
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | Do not remember:Polio:Tetanus |
| 2 | 2022-08-07 | Moderna | No |
| 3 | 2023-02-23 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Swelling at injection site
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Ear infection, and a fever, but I think it's from swimming.
Healthcare visit (other): In person wellness check
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Just experienced a cold and random hives. We haven't yet determined what causes the hives.
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 positive | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release