BFJ-16768-13188
3 vaccinations
1 coded response
37 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 231 / VA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 552-22650-68728
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-24
Registered in v-safe
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2022-12-19
Dose 3 — Moderna
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
- 2022-12-23
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2023-01-02
- 2023-01-09
-
2023-01-16
Survey response — day 28, dose 3, under 3MedDRA: COVID-19, Pyrexia, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
- 2023-01-23
- 2023-01-30
- 2023-03-20
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2022-12-19 | 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release