S27-10166-31092
1 vaccination
2 coded responses
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 017 / MA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- S9T-13326-85713
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Dose 1 — ModernaCo-administered: Chickenpox:MMR:Pneumonia
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-07-04
- 2022-07-12
- 2022-07-26
- 2022-08-04
- 2022-08-09
-
2022-12-27
Survey response — 6 months, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold, not COVID RSV or fluMedDRA releases: 2024-11 · check-in free text available
-
2022-12-27
Report sent to call center — 6 months, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-28
-
2023-06-28
Survey response — 12 months, dose 1, under 3MedDRA: Ear infection, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | Chickenpox:MMR:Pneumonia |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — 6 months, dose 1, under 3
Symptoms: Cold, not COVID RSV or flu
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release