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
-
2022-06-27
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
- 2022-06-28
-
2022-06-29
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Vomiting, Diarrhea · Be unable to do your normal daily activitiesFree text: Unsure if the diarrhea and vomiting are from the vaccine or a coincidenceMedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Vomiting · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-07-03
- 2022-07-06
-
2022-07-11
Survey response — day 14, dose 1, under 3MedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2022-07-29
Dose 2 — Moderna
-
2022-08-01
Health check-in — days 1–6 daily, dose 2, under 3Feeling: 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 consultationUnder 3 check-in
-
2022-08-01
Report sent to call center — days 1–6 daily, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-08-02
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-08-02
-
2022-08-02
Callback requested for03:30AM ET
-
2022-08-02
Call successfulParticipant prefers to complete VAERS report online
-
2022-08-03
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-09-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release