TE3-17776-57727

1 vaccination 0 coded responses 5 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 530 / WI
Registered: 2022-06-27

Relationship: Child or adolescent in my care
Guardian: R59-17625-17689
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-22
Dose 1 — Moderna
2022-06-27
Registered in v-safe
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — 3 months, dose 1, dependent
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 6 months, dose 1, dependent
Feeling: Good

Adult check-in
2023-06-24
Health check-in — 12 months, dose 1, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-22	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.