ZZR-26342-81846
3 vaccinations
1 coded response
15 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 662 / KS
- Registered
- 2022-10-17
- Relationship
- Child or adolescent in my care
- Guardian
- Y48-26282-99054
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-04
Dose 1 — ModernaCo-administered: Chickenpox:MMR:Rotavirus
-
2022-10-17
Registered in v-safe
-
2022-10-17
Dose 2 — ModernaCo-administered: Flu
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
-
2023-01-16
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection, Nasopharyngitis — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-16
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-17
-
2023-01-23
Dose 3 — ModernaCo-administered: Do not remember
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-04 | Moderna | Chickenpox:MMR:Rotavirus |
| 2 | 2022-10-17 | Moderna | Flu |
| 3 | 2023-01-23 | Moderna | Do not remember |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-16 | Unsuccessful |
Free text
None.
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release