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39F-18767-00330

3 vaccinations 1 coded response 15 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
481 / MI
Registered
2022-12-07
Relationship
Child or adolescent in my care
Guardian
MCN-26177-22156
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Moderna
  2. 2022-07-07
    Dose 2 — Moderna
  3. 2022-12-07
    Registered in v-safe
  4. 2022-12-07
    Dose 3 — Pfizer-BioNTech
  5. 2022-12-07
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-12-08
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-12-09
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-12-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-12-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-12-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-12-13
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-12-14
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-12-21
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-12-28
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2023-01-04
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2023-01-11
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2023-01-18
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2023-03-08
  19. 2023-06-07
    Survey response — 6 months, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  20. 2023-06-07
  21. 2023-06-08
  22. 2023-06-09
  23. 2023-06-12

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Moderna No
22022-07-07Moderna No
32022-12-07Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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