5RT-73916-13180
1 vaccination
0 coded responses
9 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 061 / CT
- Registered
- 2022-08-07
- Relationship
- Child or adolescent in my care
- Guardian
- 8FF-28943-46333
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-08-04
Dose 1 — ModernaCo-administered: Hepatitis B:Polio:Rotavirus:Tetanus
-
2022-08-07
Registered in v-safe
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-03
- 2023-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-04 | Moderna | Hepatitis B:Polio:Rotavirus:Tetanus |
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.