3HH-83690-69898

4 vaccinations 0 coded responses 10 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 804 / CO
Registered: 2022-06-23

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

2Q5-17125-26490 Child or adolescent in my care · Female · 2022-06-23

L2G-85366-64175 Child or adolescent in my care · Female · 2023-05-08

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-28
Dose 2 — Moderna
2021-11-10
Dose 3 — Moderna
2022-06-23
Registered in v-safe
2022-09-09
Dose 4 — Moderna
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna	No
2	2021-04-28	Moderna	No
3	2021-11-10	Moderna	No
4	2022-09-09	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.