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97G-16512-93451

1 vaccination 1 coded response 7 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
210 / MD
Registered
2022-11-01
Relationship
Child or adolescent in my care
Guardian
BF4-62600-39492
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-10-22
    Dose 1 — Moderna
    Co-administered: Flu
  2. 2022-11-01
    Registered in v-safe
  3. 2022-11-01
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-11-05
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-11-12
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-11-19
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-11-26
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2023-01-23
    Survey response — 3 months, dose 1, under 3
    MedDRA: Respiratory syncytial virus infection — 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 · Hospitalization
    MedDRA releases: 2024-11
  9. 2023-01-23
    Report sent to call center — 3 months, dose 1, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  10. 2023-01-24
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  11. 2023-04-22
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-10-22Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

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

FieldPreferred term2021-092023-042024-11
SDRespiratory syncytial virus infection · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release