5L2-79248-73995

2 vaccinations 0 coded responses 1 check-in 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 329 / FL
Registered: 2021-12-09

Relationship: Adult relative or friend
Guardian: 23P-74070-86817
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-26
Dose 1 — Moderna
2021-04-23
Dose 2 — Moderna
2021-12-09
Registered in v-safe
2022-04-24
Health check-in — 12 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna	No
2	2021-04-23	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.