NKM-67740-23591
2 vaccinations
0 coded responses
6 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 085 / NJ
- Registered
- 2022-07-05
- Relationship
- Child or adolescent in my care
- Guardian
- ZEW-12264-83684
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-24
Dose 1 — Moderna
-
2022-07-05
Registered in v-safe
-
2022-07-26
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-28
- 2022-07-30
- 2022-08-02
- 2022-08-11
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-24 | Moderna | No |
| 2 | 2022-07-26 | 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.