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482-12283-53098

3 vaccinations 0 coded responses 7 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
296 / SC
Registered
2021-10-10
Relationship
Child or adolescent in my care
Guardian
PDQ-79580-39022
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-11
    Dose 1 — Moderna
  2. 2021-06-08
    Dose 2 — Moderna
  3. 2021-10-10
    Registered in v-safe
  4. 2021-12-13
    Dose 3 — Moderna
  5. 2022-01-07
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  6. 2022-01-10
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-01-18
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-01-25
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-03-14
  10. 2022-06-13
  11. 2022-12-13

Vaccinations

DoseDateManufacturerCo-administered
12021-05-11Moderna No
22021-06-08Moderna No
32021-12-13Moderna 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.