25R-58479-70725

1 vaccination 0 coded responses 3 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 223 / VA
Registered: 2022-06-28

Relationship: Child or adolescent in my care
Guardian: 3CU-37501-00450
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-23
Dose 1 — Moderna
2022-06-28
Registered in v-safe
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-23
Health check-in — day 28, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-28
Health check-in — day 35, dose 1, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-23	Moderna	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.