5MZ-14996-09484
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-09-24
- Relationship
- Child or adolescent in my care
- Guardian
- K2X-19993-09825
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-23
Dose 1 — Moderna
-
2022-09-24
Registered in v-safe
- 2022-09-24
-
2022-09-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Loss of appetiteUnder 3 check-in
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 28, dose 1, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — day 28, dose 1, 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)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-28
Dose 2 — Moderna
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-11
-
2022-11-18
Survey response — day 21, dose 2, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend schoolFree text: RSVMedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2023-01-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-23 | Moderna | No |
| 2 | 2022-10-28 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: RSV
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: RSV
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 | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release