KTK-88136-00219
4 vaccinations
0 coded responses
39 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 482 / MI
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XR7-92492-22100
Child or adolescent in my care · Female · 2022-06-24
Y82-12551-99243
Child or adolescent in my care · Female · 2022-06-27
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-01
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-28
- 2021-12-03
- 2022-01-21
- 2022-04-22
-
2022-09-06
Dose 4 — ModernaCo-administered: Flu
- 2022-09-22
- 2022-09-27
- 2022-10-06
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-06 | 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.