G22-19482-41161
4 vaccinations
0 coded responses
8 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 953 / CA
- Registered
- 2022-04-29
- Relationship
- Adult relative or friend
- Guardian
- 3LZ-23144-55698
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-31
Dose 2 — Moderna
-
2021-10-08
Dose 3 — Moderna
-
2022-04-15
Dose 4 — ModernaCo-administered: Flu
-
2022-04-29
Registered in v-safe
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-22
- 2022-05-29
- 2022-07-19
- 2022-10-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | No |
| 2 | 2021-03-31 | Moderna | No |
| 3 | 2021-10-08 | Moderna | No |
| 4 | 2022-04-15 | 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.