572-21493-60855

1 vaccination 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 760 / TX
Registered: 2022-06-30

Relationship: Child or adolescent in my care
Guardian: 2DT-82510-62675

Timeline

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

2022-06-24
Dose 1 — Moderna
2022-06-30
Registered in v-safe

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-24	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.