6FT-17815-70966
4 vaccinations
0 coded responses
28 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2SR-33227-02934
Child or adolescent in my care · Male · 2022-08-18
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
- 2021-02-05
- 2021-02-13
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-12-15
Dose 3 — Moderna
- 2022-02-24
-
2022-05-19
Dose 4 — Moderna
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-18
- 2022-06-23
- 2022-06-30
- 2022-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-05-19 | 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.