MDC-28142-56251
4 vaccinations
0 coded responses
17 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 652 / MO
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZG5-21599-12046
Child or adolescent in my care · Female · 2022-08-27
Timeline
-
2021-01-16
Dose 1 — Pfizer-BioNTech
-
2021-02-06
Dose 2 — Pfizer-BioNTech
-
2021-03-03
Registered in v-safe
- 2021-03-03
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-09
- 2021-08-07
-
2021-11-07
Dose 3 — Pfizer-BioNTech
- 2022-02-06
- 2022-05-08
-
2022-09-08
Dose 4 — Moderna
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-18
- 2022-09-22
- 2022-10-13
- 2022-10-21
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech | |
| 3 | 2021-11-07 | Pfizer-BioNTech | No |
| 4 | 2022-09-08 | 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.