AB4-25696-64640
2 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 165 / PA
- Registered
- 2022-08-20
- Relationship
- Child or adolescent in my care
- Guardian
- C82-31870-64932
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-19
Dose 1 — Moderna
-
2022-08-20
Registered in v-safe
-
2022-08-20
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Fever · SleepinessUnder 3 check-in
-
2022-08-21
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-22
- 2022-08-24
- 2022-08-26
- 2022-09-02
-
2022-09-09
Survey response — day 21, dose 1, under 3MedDRA: Respiratory syncytial virus infection, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: RSV; Covid negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Report sent to call center — day 21, 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-12
-
2022-09-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-16
-
2022-09-23
Dose 2 — Moderna
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-19 | Moderna | No |
| 2 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: RSV; Covid negative
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 | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release