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JV5-16142-09678

1 vaccination 0 coded responses 6 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
918 / CA
Registered
2022-07-03
Relationship
Child or adolescent in my care
Guardian
9V2-27031-29060
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-07-01
    Dose 1 — Moderna
  2. 2022-07-03
    Registered in v-safe
  3. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  5. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  6. 2022-07-08
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-08-05
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2022-10-02

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Moderna 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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