C6B-11509-55481
2 vaccinations
0 coded responses
18 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 946 / CA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- V4C-21467-12285
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-08-10
Dose 1 — ModernaCo-administered: Hepatitis B:Hib:Other:Polio:Tetanus
-
2022-08-11
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite, Vomiting · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-08-12
- 2022-08-14
- 2022-08-15
- 2022-08-16
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-09-07
-
2022-09-09
Dose 2 — ModernaCo-administered: Flu
- 2022-09-15
- 2022-09-18
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-15
- 2022-10-21
- 2022-12-09
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-10 | Moderna | Hepatitis B:Hib:Other:Polio:Tetanus |
| 2 | 2022-09-09 | Moderna | Flu |
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.