3BU-13510-56668
4 vaccinations
0 coded responses
11 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 080 / NJ
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
- 2021-04-10
-
2021-04-14
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-05-05
- 2021-08-04
-
2021-11-03
Dose 3 — Moderna
- 2022-02-03
-
2022-10-11
Dose 4 — Moderna
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-20
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-10-11 | Moderna | No |
Free text
None.
Free-text releases are not linked to a specific 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.