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PAE-13946-98354

4 vaccinations 0 coded responses 9 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
341 / FL
Registered
2022-04-30
Relationship
Other
Guardian
6XJ-11172-76920
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Dose 2 — Moderna
  3. 2021-11-12
    Dose 3 — Moderna
  4. 2022-04-24
    Dose 4 — Moderna
  5. 2022-04-30
    Registered in v-safe
  6. 2022-05-01
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2022-05-08
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  8. 2022-05-15
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  9. 2022-05-22
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  10. 2022-05-29
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  11. 2022-06-05
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-24
  13. 2022-10-23
  14. 2023-04-25

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna No
22021-03-26Moderna No
32021-11-12Moderna No
42022-04-24Moderna 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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