4B7-11129-87557
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
- 660 / KS
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- VCS-31212-67186
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — ModernaCo-administered: Hepatitis B:Hib:Other:Tetanus
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Fever · SleepinessUnder 3 check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Swelling/hardness · Fever · NoneUnder 3 check-in
- 2022-07-04
- 2022-07-05
- 2022-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | Hepatitis B:Hib:Other:Tetanus |
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.