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G6G-48753-39027

1 vaccination 0 coded responses 7 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
836 / ID
Registered
2022-08-05
Relationship
Child or adolescent in my care
Guardian
3DV-27780-69226
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-04
    Dose 1 — Moderna
    Co-administered: Chickenpox:MMR:Polio:Rotavirus:Tetanus
  2. 2022-08-05
    Registered in v-safe
  3. 2022-08-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2022-08-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-08-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-08-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-08-15
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-08-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-08-25
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-04Moderna Chickenpox:MMR:Polio:Rotavirus:Tetanus

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.