DVY-14029-96962

4 vaccinations 0 coded responses 6 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 606 / IL
Registered: 2021-06-07

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

4FD-18884-95116 Child or adolescent in my care · Female · 2022-09-21

7ZN-73501-88210 Child or adolescent in my care · Female · 2022-09-21

VQZ-54377-51387 Child or adolescent in my care · Female · 2023-03-22

Timeline

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

2021-04-23
Dose 1 — Moderna
2021-05-21
Dose 2 — Moderna
2021-06-07
Registered in v-safe
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Dose 3 — Moderna
Co-administered: Flu
2022-11-08
Dose 4 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2021-12-04	Moderna	Flu
4	2022-11-08	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.