8Q9-21615-53969
4 vaccinations
0 coded responses
16 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 704 / LA
- Registered
- 2021-12-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AH9-29749-80161
Child or adolescent in my care · Male · 2022-06-28
BJ5-26289-15081
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Dose 2 — Moderna
-
2021-11-12
Dose 3 — Moderna
-
2021-12-02
Registered in v-safe
- 2021-12-02
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-09-18
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-22
- 2022-09-23
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | No |
| 2 | 2021-05-08 | Moderna | No |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-18 | Pfizer-BioNTech | Flu |
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.