HSJ-19360-52908
2 vaccinations
0 coded responses
21 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 947 / CA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- 362-11260-72564
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-24
Dose 1 — Moderna
- 2022-06-24
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-06-27
- 2022-06-28
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
- 2022-07-24
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-14
- 2022-08-19
- 2022-08-28
- 2022-09-04
- 2022-10-21
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | 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.