BJR-16712-73305
4 vaccinations
0 coded responses
35 check-ins
0 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 787 / TX
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
8DR-68033-18741
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2020-12-25
Registered in v-safe
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-02
- 2021-01-09
- 2021-01-16
-
2021-01-21
Dose 2 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-11-06
Dose 3 — Moderna
- 2022-01-21
-
2022-07-30
Dose 4 — Moderna
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-03
- 2022-08-08
- 2022-08-13
- 2022-08-20
- 2022-08-28
- 2022-09-03
- 2022-09-12
- 2022-10-29
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-07-30 | 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.