E5C-30684-08158

1 vaccination 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 984 / WA
Registered: 2022-06-22

Relationship: Child or adolescent in my care
Guardian: TF8-47398-56057

Timeline

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

2022-06-22
Registered in v-safe
2022-06-22
Dose 1 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-22	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.