HSZ-13674-72820
2 vaccinations
3 coded responses
13 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 601 / IL
- Registered
- 2022-09-09
- Relationship
- Child or adolescent in my care
- Guardian
- GTY-20967-08978
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-09
Registered in v-safe
-
2022-09-09
Dose 1 — Moderna
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-16
- 2022-09-23
-
2022-10-01
Survey response — day 21, dose 1, under 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
-
2022-10-14
Survey response — day 35, dose 1, under 3MedDRA: COVID-19, Respiratory syncytial virus infection — 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 · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with RSV and COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — day 35, 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 · 1 call case(s)
- 2022-10-17
- 2022-10-21
- 2022-12-09
-
2023-02-09
Dose 2 — Moderna
- 2023-03-10
-
2023-05-11
Survey response — 3 months, dose 2, under 3MedDRA: Adenoidectomy, Ear tube insertion, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-11
Report sent to call center — 3 months, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-12
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-09 | Moderna | No |
| 2 | 2023-02-09 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Congestion, runny nose, cough
Release 12 (Under 3) — day 35, dose 1, under 3
Symptoms: Diagnosed with RSV and COVID
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 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Adenoidectomy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear tube insertion | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release