HT6-17119-06429
2 vaccinations
0 coded responses
23 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 805 / CO
- Registered
- 2022-07-02
- Relationship
- Child or adolescent in my care
- Guardian
- RTR-18002-42099
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-01
Dose 1 — Moderna
-
2022-07-02
Registered in v-safe
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-15
- 2022-07-24
- 2022-07-29
-
2022-07-30
Dose 2 — Moderna
-
2022-07-30
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-01
- 2022-08-02
- 2022-08-04
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-29
- 2022-09-05
- 2022-09-10
- 2022-10-29
- 2023-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Moderna | No |
| 2 | 2022-07-30 | 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.