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RXX-21584-15677

2 vaccinations 0 coded responses 1 check-in 0 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
482 / MI
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
ZSR-16812-88634
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-01
    Dose 1 — Moderna
  2. 2021-11-29
    Dose 2 — Moderna
  3. 2022-06-23
    Registered in v-safe
  4. 2022-11-29

Vaccinations

DoseDateManufacturerCo-administered
12021-11-01Moderna No
22021-11-29Moderna 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.