3W5-31726-64600

5 vaccinations 0 coded responses 9 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2022-07-17

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

Registered dependents

LFY-50975-72283 Child or adolescent in my care · Female · 2022-07-17

5KX-28516-63398 Child or adolescent in my care · Male · 2023-03-22

Timeline

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

2021-03-21
Dose 1 — Moderna
2021-04-24
Dose 2 — Moderna
2021-12-04
Dose 3 — Moderna
2022-07-17
Registered in v-safe
2022-07-21
Dose 4 — Moderna
2022-08-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 0, dose 2, under 3
Feeling: Fair · Site: Pain · Irritability/crying

Under 3 check-in
2022-08-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Pfizer-BioNTech
2022-10-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna	No
2	2021-04-24	Moderna	No
3	2021-12-04	Moderna	No
4	2022-07-21	Moderna	No
5	2022-10-07	Pfizer-BioNTech	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.