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6JB-13838-47900

1 vaccination 0 coded responses 15 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
945 / CA
Registered
2022-06-24
Relationship
Child or adolescent in my care
Guardian
SEM-93221-10285
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-06-24
    Registered in v-safe
  3. 2022-06-24
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-26
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-06-30
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-07-21
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-07-28
    Health check-in — day 35, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-04
    Health check-in — day 42, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-22
    Health check-in — 3 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  16. 2022-12-22
    Health check-in — 6 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  17. 2023-06-23
    Health check-in — 12 months, dose 1, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna 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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