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GTV-78165-84061

3 vaccinations 0 coded responses 6 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
16-20
ZIP prefix
950 / CA
Registered
2022-02-06
Relationship
Child or adolescent in my care
Guardian
ZQU-14171-31422
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-07
    Dose 1 — Moderna
  2. 2021-04-07
    Dose 2 — Moderna
  3. 2022-01-14
    Dose 3 — Pfizer-BioNTech
  4. 2022-02-06
    Registered in v-safe
  5. 2022-02-06
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  6. 2022-02-13
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-02-20
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-04-17
  9. 2022-07-17
  10. 2023-01-14

Vaccinations

DoseDateManufacturerCo-administered
12021-03-07Moderna No
22021-04-07Moderna No
32022-01-14Pfizer-BioNTech 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.

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