E2Z-23340-61614
2 vaccinations
1 coded response
28 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 105 / NY
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- B5W-33718-66839
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-13
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-08-08
-
2022-08-22
Dose 2 — Moderna
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
-
2022-08-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-27
- 2022-08-28
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-09-26
-
2022-10-03
Survey response — day 42, dose 2, dependentMedDRA: 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 · Outpatient clinic or urgent care clinic visitFree text: He has RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Report sent to call center — day 42, dose 2, dependentBe 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 · 1 call case(s)
-
2022-10-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-21
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-08-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 42, dose 2, dependent
Symptoms: He has 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