7AP-23871-87730

3 vaccinations 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 920 / CA
Registered: 2022-01-16

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

Registered dependents

NTZ-57314-45270 Child or adolescent in my care · Male · 2022-01-16

Timeline

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

2021-03-03
Dose 1 — Moderna
2021-06-16
Dose 2 — Moderna
2022-01-15
Dose 3 — Moderna
2022-01-16
Registered in v-safe
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna	No
2	2021-06-16	Moderna	No
3	2022-01-15	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.