C4F-23824-85943

3 vaccinations 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 723 / AR
Registered: 2022-04-26

Relationship: Child or adolescent in my care
Guardian: 24V-72206-63464
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-12
Dose 1 — Moderna
2021-05-10
Dose 2 — Moderna
2022-01-13
Dose 3 — Moderna
2022-04-26
Registered in v-safe
2022-07-14
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 12 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna	No
2	2021-05-10	Moderna	No
3	2022-01-13	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.