39Z-82618-82678

1 vaccination 0 coded responses 5 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 275 / NC
Registered: 2022-11-04

Relationship: Child or adolescent in my care
Guardian: 3KH-20206-31408
Race: N/A
Ethnicity: N/A

Timeline

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

2022-10-28
Dose 1 — Moderna
2022-11-04
Registered in v-safe
2022-11-04
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-11-11
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-11-18
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-12-02
Health check-in — day 35, dose 1, under 3
Feeling: Good

Under 3 check-in
2023-01-27
Health check-in — 3 months, dose 1, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-10-28	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.