83T-93734-67420
3 vaccinations
0 coded responses
14 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 761 / TX
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
6SX-11998-77717
Child or adolescent in my care · Male · 2022-07-22
UST-28103-97111
Child or adolescent in my care · Male · 2022-07-22
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-02
Dose 2 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2022-02-02
-
2022-04-22
Dose 3 — Moderna
- 2022-04-26
- 2022-04-27
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2022-04-22 | 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.