QX5-13166-09720
1 vaccination
0 coded responses
7 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 221 / VA
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 49L-20961-05189
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Moderna
-
2022-06-30
Registered in v-safe
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-06
- 2022-07-13
- 2022-07-22
- 2022-08-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | 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.