BK9-17976-32479

3 vaccinations 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 191 / PA
Registered: 2022-05-26

Relationship: Self

Registered dependents

RDS-18761-58061 Adult relative or friend · Female · 2022-05-26

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Dose 1 — Moderna
2021-02-19
Dose 2 — Moderna
2021-12-04
Dose 3 — Moderna
2022-05-26
Registered in v-safe

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna	No
2	2021-02-19	Moderna	No
3	2021-12-04	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.