3TY-16292-03455
2 vaccinations
0 coded responses
24 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 940 / CA
- Registered
- 2022-08-16
- Relationship
- Child or adolescent in my care
- Guardian
- SRP-33818-62518
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-16
Registered in v-safe
-
2022-08-16
Dose 1 — Moderna
- 2022-08-16
-
2022-08-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fever · NoneAdult check-in
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-30
- 2022-09-06
-
2022-09-13
Dose 2 — Moderna
- 2022-09-13
-
2022-09-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-16 | Moderna | No |
| 2 | 2022-09-13 | 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.