5BK-29481-85957

1 vaccination 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 956 / CA
Registered: 2021-08-26

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

Timeline

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

2021-08-18
Dose 1 — Moderna
2021-08-26
Registered in v-safe
2021-08-26
Health check-in — day 7, dose 1
Feeling: Poor · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-09-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-18	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.