ZEJ-24299-21819
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 871 / NM
- Registered
- 2022-07-09
- Relationship
- Child or adolescent in my care
- Guardian
- BK9-11957-05679
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-09
Registered in v-safe
-
2022-07-09
Dose 1 — Moderna
- 2022-07-10
- 2022-07-11
-
2022-07-13
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough — Feeling: GoodFree text: New cough (dry)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-16
- 2022-07-23
-
2022-07-30
Survey response — day 21, dose 1, under 3MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever lasting 24 hoursMedDRA releases: 2024-11 · check-in free text available
-
2022-08-06
Survey response — day 28, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose and dry coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-13
Dose 2 — Moderna
- 2022-08-13
- 2022-08-15
- 2022-08-17
- 2022-08-20
- 2022-08-27
-
2022-09-03
Survey response — day 21, dose 2, under 3MedDRA: Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Report sent to call center — day 21, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-06
- 2022-09-10
- 2022-09-17
- 2022-09-24
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-03 | Unsuccessful |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): New cough (dry)
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever lasting 24 hours
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Runny nose and dry cough
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Ear infection
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 infection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release