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66B-17386-20844

4 vaccinations 0 coded responses 14 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
864 / AZ
Registered
2022-04-20
Relationship
Adult relative or friend
Guardian
4QV-35788-52196
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-04
    Dose 2 — Moderna
  3. 2021-10-23
    Dose 3 — Moderna
  4. 2022-04-19
    Dose 4 — Moderna
  5. 2022-04-20
    Registered in v-safe
  6. 2022-04-20
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2022-04-22
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-04-23
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-04-24
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-04-25
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-04-26
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-05-03
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  13. 2022-05-10
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  14. 2022-05-17
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  15. 2022-05-24
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  16. 2022-05-31
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  17. 2022-07-19
  18. 2022-10-19
  19. 2023-04-21

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna No
22021-03-04Moderna No
32021-10-23Moderna No
42022-04-19Moderna 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.

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