3WN-11158-17501

3 vaccinations 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 483 / MI
Registered: 2021-11-13

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

Registered dependents

3GD-26049-58841 Child or adolescent in my care · Male · 2021-11-13

JZG-27036-49940 Child or adolescent in my care · Female · 2021-11-13

Timeline

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

2021-03-18
Dose 1 — Moderna
2021-04-16
Dose 2 — Moderna
2021-11-12
Dose 3 — Moderna
2021-11-13
Registered in v-safe
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna	No
2	2021-04-16	Moderna	No
3	2021-11-12	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.