HZA-12659-96194
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 497 / MI
- Registered
- 2022-07-31
- Relationship
- Child or adolescent in my care
- Guardian
- XUA-21249-54893
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-29
Dose 1 — Moderna
-
2022-07-31
Registered in v-safe
-
2022-07-31
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-08-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite, Vomiting · 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 consultationUnder 3 check-in
-
2022-08-01
Report sent to call center — days 1–6 daily, 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)
-
2022-08-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
- 2022-08-02
- 2022-08-07
- 2022-08-14
-
2022-08-19
Survey response — day 21, dose 1, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Congested and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-11
-
2022-10-30
Survey response — 3 months, dose 1, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-10-30
Report sent to call center — 3 months, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-01 | Unsuccessful | |
| 2022-10-30 | Unsuccessful |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Congested and cough
Release 12 (Under 3) — 3 months, 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 | Cough | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release