YTH-17708-43456
2 vaccinations
3 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 470 / IN
- Registered
- 2022-08-01
- Relationship
- Child or adolescent in my care
- Guardian
- KDF-15301-13787
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Dose 1 — Moderna
-
2022-07-31
Dose 2 — Moderna
-
2022-08-01
Registered in v-safe
-
2022-08-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-02
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Irritability — Feeling: Good · Site: PainFree text: FussinessMedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-06
- 2022-08-07
-
2022-08-14
Survey response — day 14, dose 2, dependentMedDRA: Body temperature increased — Feeling: GoodFree text: Temp 100.1 for three days.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
- 2022-08-29
- 2022-09-04
- 2022-09-12
- 2022-11-01
-
2023-01-30
Survey response — 6 months, dose 2, dependentMedDRA: Petechiae, Rash, Viral rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-30
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-31
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
| 2 | 2022-07-31 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Fussiness
Release 12 — day 14, dose 2, dependent
Symptoms: Temp 100.1 for three days.
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 | Body temperature increased | · | · | ✓ |
| SD | Petechiae | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Viral rash | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release