A63-28120-72356
4 vaccinations
0 coded responses
8 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 971 / OR
- Registered
- 2022-05-26
- Relationship
- Adult relative or friend
- Guardian
- NGB-21053-63465
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Dose 1 — Moderna
-
2021-05-01
Dose 2 — ModernaCo-administered: Flu
-
2021-11-10
Dose 3 — Moderna
-
2022-05-22
Dose 4 — Moderna
-
2022-05-26
Registered in v-safe
-
2022-05-26
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-28
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Muscle or body achesAdult check-in
- 2022-05-29
- 2022-06-14
- 2022-06-19
- 2022-07-03
- 2022-11-21
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | No |
| 2 | 2021-05-01 | Moderna | Flu |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-05-22 | 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.