65C-12769-94580
2 vaccinations
0 coded responses
15 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 327 / FL
- Registered
- 2021-08-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-30
Dose 1 — Moderna
-
2021-08-03
Registered in v-safe
- 2021-08-03
- 2021-08-04
- 2021-08-13
- 2021-08-22
-
2021-08-27
Dose 2 — Moderna
-
2021-08-27
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-05
- 2021-09-12
- 2021-10-10
- 2021-11-26
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Moderna | No |
| 2 | 2021-08-27 | 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.