5EZ-21252-90266
2 vaccinations
0 coded responses
22 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 907 / CA
- Registered
- 2022-07-10
- Relationship
- Child or adolescent in my care
- Guardian
- N7R-59590-67953
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-08
Dose 1 — Moderna
-
2022-07-10
Registered in v-safe
-
2022-07-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-22
- 2022-07-29
-
2022-08-04
Dose 2 — Moderna
-
2022-08-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · DiarrheaAdult check-in
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-09-17
- 2022-11-05
- 2023-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-08 | Moderna | No |
| 2 | 2022-08-04 | 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.