BS4-23500-44204
4 vaccinations
0 coded responses
21 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-12-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DQG-98871-77965
Child or adolescent in my care · Male · 2022-11-01
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-05-19
Dose 2 — Moderna
-
2021-12-04
Registered in v-safe
-
2021-12-04
Dose 3 — Moderna
-
2021-12-04
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-12-06
- 2021-12-07
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
- 2022-06-04
-
2022-09-18
Dose 4 — Moderna
- 2022-10-05
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-12-18
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | No |
| 2 | 2021-05-19 | Moderna | No |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-09-18 | 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.