4JS-23585-39681
3 vaccinations
0 coded responses
24 check-ins
0 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 113 / NY
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-08
-
2021-03-13
Dose 2 — Moderna
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-20
- 2021-03-27
- 2021-04-05
- 2021-04-26
-
2021-11-06
Dose 3 — Moderna
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-22
- 2021-11-29
- 2021-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-06 | 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.