C4K-22319-72985

4 vaccinations 0 coded responses 7 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 483 / MI
Registered: 2021-05-05

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

589-14490-80943 Adult relative or friend · Female · 2021-07-27

N3M-11560-50768 Child or adolescent in my care · Female · 2022-08-10

F4X-22477-96772 Child or adolescent in my care · Male · 2022-08-10

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · None · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-05
Dose 3 — Moderna
2023-01-08
Dose 4 — Pfizer-BioNTech
2023-01-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-01-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2022-01-05	Moderna	No
4	2023-01-08	Pfizer-BioNTech	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.