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6FV-12393-71599

3 vaccinations 0 coded responses 14 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
957 / CA
Registered
2021-11-21
Relationship
Adult relative or friend
Guardian
CAW-49675-14661
Race
White
Ethnicity
Hispanic or Latino

Timeline

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

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna No
22021-05-16Moderna No
32021-11-19Moderna 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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