R3B-16987-01941

1 vaccination 0 coded responses 3 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 360 / AL
Registered: 2021-08-06

Relationship: Adult relative or friend
Guardian: TQ6-32613-69734
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-07
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Muscle or body aches

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-20
Health check-in — day 14, dose 1, dependent
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	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.