FQR-17317-87040
4 vaccinations
0 coded responses
26 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-07-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
K8B-19964-59468
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-04-18
Dose 2 — Moderna
-
2021-07-27
Registered in v-safe
- 2021-10-17
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fatigue or tiredness, NauseaAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-09-09
Dose 4 — ModernaCo-administered: Flu
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | No |
| 2 | 2021-04-18 | Moderna | No |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-09 | Moderna | 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.