GQZ-15572-66965
3 vaccinations
0 coded responses
21 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 891 / NV
- Registered
- 2021-05-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9YE-16581-12477
Child or adolescent in my care · Male · 2022-07-09
8RF-32104-90294
Child or adolescent in my care · Male · 2022-07-09
Timeline
-
2021-05-15
Registered in v-safe
-
2021-05-15
Dose 1 — Moderna
- 2021-05-15
-
2021-05-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-29
- 2021-06-05
-
2021-06-12
Dose 2 — Moderna
- 2021-06-12
-
2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-06-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-06-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-06-28
- 2021-12-13
-
2021-12-17
Dose 3 — Moderna
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-09
- 2022-01-23
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Moderna | |
| 2 | 2021-06-12 | Moderna | |
| 3 | 2021-12-17 | 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.