DMG-88008-86224
2 vaccinations
1 coded response
17 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 479 / IN
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- APB-23562-12548
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-24
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
-
2022-08-05
Survey response — day 14, dose 2, under 3MedDRA: Croup infectious, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Started budesonide nebs for recurrent croup. First 2 croup incidences we're prior to start of vaccine series. 1 was after first vaccine and before 2nd.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Report sent to call center — day 14, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-08
-
2022-08-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-21
- 2022-08-26
- 2022-09-02
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-05 | Successful 2022-08-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Started budesonide nebs for recurrent croup. First 2 croup incidences we're prior to start of vaccine series. 1 was after first vaccine and before 2nd.
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 | Croup infectious | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release