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YQJ-14543-87975

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
208 / MD
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
H7G-25620-55504
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Registered in v-safe
  2. 2022-06-27
    Dose 1 — Moderna
  3. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  4. 2022-06-29
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Vomiting, Diarrhea · Be unable to do your normal daily activities
    Free text: Unsure if the diarrhea and vomiting are from the vaccine or a coincidence
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Fever · Vomiting · Be unable to do your normal daily activities
    Under 3 check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  7. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-06
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-11
    Survey response — day 14, dose 1, under 3
    MedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: He had a 103.8 fever on 7/7, a 102.3 fever on 7/8, and a 101.2 fever on 7/9. Unsure if this is related to the vaccine or not. His PCR Covid test was negative.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-29
    Dose 2 — Moderna
  11. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Under 3 check-in
  12. 2022-08-01
    Report sent to call center — days 1–6 daily, dose 2, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  13. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  14. 2022-08-02
  15. 2022-08-02
  16. 2022-08-02
    Call successful
    Participant prefers to complete VAERS report online
  17. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activities
    Under 3 check-in
  18. 2022-09-11
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-27Moderna No
22022-07-29Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-29

Systemic reaction (other): Unsure if the diarrhea and vomiting are from the vaccine or a coincidence

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-11

Symptoms: He had a 103.8 fever on 7/7, a 102.3 fever on 7/8, and a 101.2 fever on 7/9. Unsure if this is related to the vaccine or not. His PCR Covid test was negative.

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

FieldPreferred term2021-092023-042024-11
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODiarrhoea · · ✓
SROVomiting · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release