FTB-18949-05871
4 vaccinations
0 coded responses
19 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 042 / ME
- Registered
- 2021-11-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KTY-34306-95658
Child or adolescent in my care · Male · 2022-05-25
M3W-20877-84126
Child or adolescent in my care · Male · 2022-11-26
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-05-11
Dose 2 — Moderna
-
2021-11-24
Dose 3 — Moderna
-
2021-11-27
Registered in v-safe
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
- 2022-05-25
-
2022-11-18
Dose 4 — Moderna
- 2022-11-26
- 2022-11-26
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | No |
| 2 | 2021-05-11 | Moderna | No |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-11-18 | 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.