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A8R-20520-69649

3 vaccinations 0 coded responses 8 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
114 / NY
Registered
2021-11-06
Relationship
Adult relative or friend
Guardian
Y7A-23147-31077
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-02-12
    Dose 2 — Moderna
  3. 2021-11-05
    Dose 3 — Moderna
  4. 2021-11-06
    Registered in v-safe
  5. 2021-11-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-11-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-11-12
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-21
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2021-11-26
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-11
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-19
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-02-05

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna No
22021-02-12Moderna No
32021-11-05Moderna 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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