TEC-30593-61437
3 vaccinations
1 coded response
3 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 601 / IL
- Registered
- 2022-09-11
- Relationship
- Child or adolescent in my care
- Guardian
- ZPZ-60350-87594
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-07-20
Dose 2 — Moderna
-
2022-09-11
Registered in v-safe
- 2022-10-19
-
2023-01-18
Survey response — 6 months, dose 2, under 3MedDRA: Croup infectious — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-18
Report sent to call center — 6 months, dose 2, under 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-01-19
-
2023-01-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-21
Dose 3 — Moderna
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2023-01-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-18 | Successful 2023-01-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
None.
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 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release