ZSK-19242-77814
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 974 / OR
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- JLP-10975-88938
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
- 2022-06-25
- 2022-06-26
-
2022-06-27
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Pain — Feeling: GoodFree text: Described body as feeling sore/achy.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
-
2022-07-09
Survey response — day 14, dose 1, under 3MedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever 101.4 - broke after 16 hours.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
Survey response — day 21, dose 1, under 3MedDRA: Dysphonia, Ear infection, Pyrexia, Rhinorrhoea, Throat irritation — 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 · Outpatient clinic or urgent care clinic visitFree text: Fever off and on for five days, scratchy throat, hoarse, runny nose, minor ear infection.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
Report sent to call center — day 21, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-23
Dose 2 — Moderna
- 2022-07-23
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-25
- 2022-07-26
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-09-03
- 2022-10-22
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-16 | Successful 2022-07-19 |
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): Described body as feeling sore/achy.
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Fever 101.4 - broke after 16 hours.
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Fever off and on for five days, scratchy throat, hoarse, runny nose, minor 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 | Dysphonia | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release