E4F-56212-46977
5 vaccinations
0 coded responses
11 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 067 / CT
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AX6-60115-87790
Adult relative or friend · Male · 2021-11-12
LA5-19342-71841
Child or adolescent in my care · Female · 2021-11-12
MBT-14006-60254
Child or adolescent in my care · Female · 2022-06-20
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-02-04
Dose 2 — Moderna
-
2021-10-22
Dose 3 — Moderna
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
- 2022-04-22
-
2022-05-12
Dose 4 — Moderna
-
2022-09-15
Dose 5 — Moderna
- 2022-10-22
- 2022-10-22
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | No |
| 2 | 2021-02-04 | Moderna | No |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-09-15 | 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.