5JB-17227-81786
2 vaccinations
0 coded responses
12 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 627 / IL
- Registered
- 2022-06-20
- Relationship
- Child or adolescent in my care
- Guardian
- XK3-31813-20266
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-20
Registered in v-safe
-
2022-07-07
Dose 1 — Moderna
-
2022-08-08
Dose 2 — Moderna
-
2022-08-08
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-08-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-08-10
- 2022-08-12
-
2022-08-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-08-15
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-21
- 2022-11-09
- 2023-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-07 | Moderna | No |
| 2 | 2022-08-08 | 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.