CS3-71331-44957
2 vaccinations
0 coded responses
3 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 953 / CA
- Registered
- 2021-09-10
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
8MR-18856-86979
Adult relative or friend · Female · 2021-09-10
Timeline
-
2021-08-12
Dose 1 — Moderna
-
2021-09-09
Dose 2 — Moderna
-
2021-09-10
Registered in v-safe
-
2021-09-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-12
- 2021-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-12 | Moderna | No |
| 2 | 2021-09-09 | 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.