ZB4-71837-78992
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 584 / ND
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
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2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-07
-
2021-01-21
Dose 2 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-02-04
- 2021-02-12
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-04-22
Survey response — 3 months, dose 2MedDRA: Cough, Ear pain, Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, sore throat, sore ears, sinus drainage; congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
-
2021-11-09
Dose 3 — Moderna
-
2022-01-21
Survey response — 12 months, dose 2MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Influenza AMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-24
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2022-09-20
Dose 4 — Other-UnknownCo-administered: Flu
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2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
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2022-09-26
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Survey response — day 7, dose 4MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
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2022-11-01
Survey response — day 42, dose 4MedDRA: Cough, Exposure to communicable disease, Respiratory tract congestion — Feeling: FairFree text: Cough, congestion. My child has RSV.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-09-20 | Other-Unknown | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-22 | Unsuccessful | |
| 2022-01-21 | Unsuccessful |
Free text
Release 7 — 3 months, dose 2
Symptoms: Cough, sore throat, sore ears, sinus drainage; congestion
Release 11 — 12 months, dose 2
Symptoms: Influenza A
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Congestion
Systemic reaction (other): Congestion
Release 12 — day 7, dose 4
Systemic reaction (other): Congestion
Release 12 — day 42, dose 4
Symptoms: Cough, congestion. My child has RSV.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ○ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release