5X8-24291-55894

4 vaccinations 0 coded responses 8 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 985 / WA
Registered: 2021-11-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Registered dependents

QJH-13683-79340 Child or adolescent in my care · Male · 2022-06-22

3ZG-31667-99702 Other · Male · 2023-05-08

TB4-22787-74308 Other · Female · 2023-05-08

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-04-14
Dose 2 — Moderna
2021-11-12
Registered in v-safe
2021-11-12
Dose 3 — Moderna
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-18
Dose 4 — Pfizer-BioNTech
2022-11-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna	No
2	2021-04-14	Moderna	No
3	2021-11-12	Moderna	No
4	2022-10-18	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.