M9S-90950-12991
2 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 633 / MO
- Registered
- 2022-07-11
- Relationship
- Child or adolescent in my care
- Guardian
- GV8-27867-10178
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Dose 1 — Moderna
-
2022-07-11
Registered in v-safe
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
-
2022-08-04
Dose 2 — Moderna
- 2022-08-20
- 2022-08-27
- 2022-09-08
-
2022-11-03
Survey response — 3 months, dose 2, dependentMedDRA: Croup infectious, Respiratory syncytial virus infection — Feeling: Good · 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: She had croup and RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Report sent to call center — 3 months, 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)
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-08-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 3 months, dose 2, dependent
Symptoms: She had croup and 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 | Croup infectious | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release