J5X-25938-73951
2 vaccinations
0 coded responses
7 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 907 / CA
- Registered
- 2023-03-08
- Relationship
- Child or adolescent in my care
- Guardian
- 52E-18572-23329
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-01-17
Dose 1 — Moderna
-
2023-03-03
Dose 2 — Moderna
-
2023-03-08
Registered in v-safe
- 2023-03-08
- 2023-03-09
-
2023-03-10
Health check-in — day 7, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Loss of appetiteUnder 3 check-in
- 2023-03-31
- 2023-04-07
- 2023-04-14
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-17 | Moderna | No |
| 2 | 2023-03-03 | 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.