YM7-44425-98598
3 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 291 / SC
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- WS7-21443-77695
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-06-28
Dose 1 — Moderna
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-14
- 2022-07-19
- 2022-07-26
-
2022-07-28
Dose 2 — Moderna
-
2022-07-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-08-02
- 2022-08-04
- 2022-08-11
-
2022-08-18
Survey response — day 21, dose 2, dependentMedDRA: Hypersensitivity, Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Hives. Likely environmental allergen. Treated with ZyrtecMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — day 21, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-10-27
-
2022-12-22
Dose 3 — Moderna
- 2023-01-26
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
| 3 | 2022-12-22 | 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 |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Hives. Likely environmental allergen. Treated with Zyrtec
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 | Hypersensitivity | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release