KRC-22607-96038

3 vaccinations 0 coded responses 4 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 750 / TX
Registered: 2022-06-21

Relationship: Child or adolescent in my care
Guardian: 5FE-27838-38324
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-10-27
Dose 1 — Moderna
2021-11-30
Dose 2 — Moderna
2022-06-21
Registered in v-safe
2022-10-19
Dose 3 — Moderna
2022-11-30
Health check-in — 12 months, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-11-30
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-01-18
Health check-in — 3 months, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-04-19
Health check-in — 6 months, dose 3, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-27	Moderna	No
2	2021-11-30	Moderna	No
3	2022-10-19	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.