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255-21110-62525

2 vaccinations 0 coded responses 12 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
775 / TX
Registered
2022-07-19
Relationship
Child or adolescent in my care
Guardian
PQP-15950-67028
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-13
    Dose 1 — Moderna
  2. 2022-07-19
    Registered in v-safe
  3. 2022-07-19
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-20
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-29
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2022-08-03
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-08-10
    Dose 2 — Moderna
  8. 2022-08-17
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-08-24
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2022-08-31
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-09-09
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-09-14
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-09-21
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-11-09
  15. 2023-02-08

Vaccinations

DoseDateManufacturerCo-administered
12022-07-13Moderna No
22022-08-10Moderna No

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

No MedDRA codes.

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