A3U-31472-93326
3 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 787 / TX
- Registered
- 2022-10-24
- Relationship
- Child or adolescent in my care
- Guardian
- 24T-13915-71828
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-10-18
Dose 1 — ModernaCo-administered: Flu:Hepatitis B:Hib:Pneumonia:Polio:Tetanus
-
2022-10-24
Registered in v-safe
- 2022-10-24
- 2022-10-25
- 2022-11-03
- 2022-11-08
- 2022-11-15
-
2022-11-29
Survey response — day 42, dose 1, under 3MedDRA: Respiratory syncytial virus infection — 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 visit, Emergency room or emergency department visitFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Report sent to call center — day 42, 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-30
-
2022-12-13
Dose 2 — ModernaCo-administered: Flu
- 2023-01-17
-
2023-02-16
Dose 3 — Moderna
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-18 | Moderna | Flu:Hepatitis B:Hib:Pneumonia:Polio:Tetanus |
| 2 | 2022-12-13 | Moderna | Flu |
| 3 | 2023-02-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-29 | Unsuccessful |
Free text
Release 12 (Under 3) — day 42, dose 1, 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