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JV6-13448-57689

3 vaccinations 1 coded response 13 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
606 / IL
Registered
2022-06-22
Relationship
Child or adolescent in my care
Guardian
F7A-12915-29302
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Registered in v-safe
  2. 2022-06-22
    Dose 1 — Moderna
  3. 2022-06-22
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-23
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  7. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  8. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  9. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  10. 2022-06-29
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Fever · None
    Under 3 check-in
  11. 2022-07-06
    Survey response — day 14, dose 1, under 3
    MedDRA: Croup infectious, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Diagnosed with croup July 3, hospitalized overnight on July 3 after steroids and 3 breathing treatments
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-06
    Report sent to call center — day 14, dose 1, under 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  13. 2022-07-07
  14. 2022-07-13
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-07-20
    Dose 2 — Moderna
  16. 2022-07-20
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2022-12-22
    Dose 3 — Moderna
  19. 2023-06-22
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-22Moderna No
22022-07-20Moderna No
32022-12-22Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-06

Symptoms: Diagnosed with croup July 3, hospitalized overnight on July 3 after steroids and 3 breathing treatments

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

FieldPreferred term2021-092023-042024-11
SDCroup infectious · · ✓
SDHospitalisation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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