4YU-20606-75740
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 600 / IL
- Registered
- 2022-10-19
- Relationship
- Child or adolescent in my care
- Guardian
- UC5-14803-23766
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-19
Dose 1 — Moderna
-
2022-10-17
Dose 2 — Moderna
-
2022-10-19
Registered in v-safe
- 2022-10-19
- 2022-10-20
- 2022-10-23
-
2022-10-24
Survey response — day 7, dose 2, dependentMedDRA: Croup infectious — Feeling: GoodFree text: Currently has croup as of Saturday nightMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Survey response — day 14, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: Virus coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-15
- 2022-11-21
-
2022-11-28
Survey response — day 42, dose 2, dependentMedDRA: Cough — Feeling: FairFree text: Croupy coughMedDRA releases: 2024-11 · check-in free text available
- 2023-01-16
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-19 | Moderna | No |
| 2 | 2022-10-17 | Moderna | No |
Free text
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Currently has croup as of Saturday night
Release 12 — day 14, dose 2, dependent
Symptoms: Virus cough
Release 12 — day 42, dose 2, dependent
Symptoms: Croupy cough
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 | · | · | ✓ |
| SRO | Croup infectious | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release