RV5-21781-63350
1 vaccination
0 coded responses
12 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 070 / NJ
- Registered
- 2022-07-16
- Relationship
- Child or adolescent in my care
- Guardian
- 4TY-15223-87636
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-16
Registered in v-safe
-
2022-07-16
Dose 1 — Moderna
- 2022-07-16
-
2022-07-17
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
-
2022-07-18
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · None · Be unable to work or attend schoolUnder 3 check-in
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-10-15
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-16 | 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.