568-16715-29373

2 vaccinations 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 485 / MI
Registered: 2021-08-10

Relationship: Adult relative or friend
Guardian: KZF-24861-72859

Timeline

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

2021-02-20
Dose 1 — Moderna
2021-03-20
Dose 2 — Moderna
2021-08-10
Registered in v-safe

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna	No
2	2021-03-20	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.