ZRY-18548-08460
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 201 / VA
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- VRA-21570-00730
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
- 2022-06-21
- 2022-06-22
- 2022-06-24
- 2022-06-25
- 2022-06-26
-
2022-06-27
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Constipation — Feeling: GoodFree text: Constipation (pooped for the first time today since Friday)MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
-
2022-08-09
Dose 2 — Moderna
- 2022-08-09
-
2022-08-10
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Chills, Pre-existing disease, Self-medication — Feeling: Poor · Fever · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesFree text: Chills- hx of febrile seizure so gave Tylenol preemptivelyMedDRA releases: 2024-11 · check-in free text available
-
2022-08-11
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Nausea, Retching — Feeling: Poor · Site: Pain · Sleepiness, Irritability/crying · Be unable to do your normal daily activitiesFree text: Nausea, dry heavesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-13
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
-
2022-08-14
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Groin or underarm swelling/tenderness · NoneUnder 3 check-in
- 2022-08-15
- 2022-08-16
- 2022-08-23
-
2022-08-30
Survey response — day 21, dose 2, under 3MedDRA: Febrile convulsion, Nasopharyngitis — Feeling: Good · 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 visitFree text: Febrile seizure, coldMedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Report sent to call center — day 21, dose 2, under 3Be 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 · 1 call case(s)
-
2022-08-31
Call successfulParticipant prefers to complete VAERS report online
- 2022-09-06
- 2022-09-20
-
2022-11-08
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis, Office visit, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Random cold/ virus · Healthcare visit (other): Pediatrician visitMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-28
Dose 3 — Moderna
- 2022-12-28
-
2022-12-29
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Irritability/cryingFree text: Struggled to sleepMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Redness, Swelling/hardness · NoneUnder 3 check-in
-
2022-12-31
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Swelling/hardness · Irritability/cryingUnder 3 check-in
-
2023-01-01
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2023-01-02
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
- 2023-01-03
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
- 2023-03-30
- 2023-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-08-09 | Moderna | No |
| 3 | 2022-12-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-30 | Successful 2022-08-31 |
Participant prefers to complete VAERS report online |
| 2022-11-08 | Successful 2022-11-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Constipation (pooped for the first time today since Friday)
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Chills- hx of febrile seizure so gave Tylenol preemptively
Systemic reaction (other): Nausea, dry heaves
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Febrile seizure, cold
Release 12 (Under 3) — 3 months, dose 2, under 3
Release 12 (Under 3) — days 1–6 daily, dose 3, under 3
Systemic reaction (other): Struggled to sleep
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Febrile convulsion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Retching | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release