3FZ-33288-56402
5 vaccinations
0 coded responses
34 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 240 / VA
- Registered
- 2021-11-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
W7P-19268-91010
Child or adolescent in my care · Male · 2021-11-08
TAW-12399-80266
Child or adolescent in my care · Female · 2022-07-08
Timeline
-
2021-04-22
Dose 1 — Other-Unknown
-
2021-06-06
Dose 2 — Other-Unknown
-
2021-11-08
Registered in v-safe
-
2021-11-08
Dose 3 — ModernaCo-administered: Flu
- 2021-11-08
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
-
2022-08-02
Dose 4 — Moderna
- 2022-08-02
-
2022-08-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2022-08-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-08-05
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-18
-
2023-02-28
Dose 5 — Moderna
- 2023-02-28
-
2023-03-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-03-02
- 2023-03-03
- 2023-03-04
- 2023-03-05
- 2023-03-06
- 2023-03-07
- 2023-03-14
- 2023-03-21
- 2023-03-28
- 2023-04-04
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Other-Unknown | No |
| 2 | 2021-06-06 | Other-Unknown | No |
| 3 | 2021-11-08 | Moderna | Flu |
| 4 | 2022-08-02 | Moderna | No |
| 5 | 2023-02-28 | 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.