DLX-23287-40707

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

Sex: Male
Age at first dose: 66+
ZIP prefix: 085 / NJ
Registered: 2021-06-21

Relationship: Other
Guardian: 5SS-89016-15828
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-25
Dose 1 — Moderna
2021-03-25
Dose 2 — Moderna
2021-06-21
Registered in v-safe
2021-06-24
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-25
Health check-in — 12 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna	No
2	2021-03-25	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.