N36-32258-22097
3 vaccinations
0 coded responses
16 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 119 / NY
- Registered
- 2021-09-10
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
K2C-41126-46263
Child or adolescent in my care · Male · 2021-09-10
Timeline
-
2021-08-19
Dose 1 — Moderna
-
2021-09-10
Registered in v-safe
- 2021-09-10
-
2021-09-16
Dose 2 — Moderna
- 2021-09-16
-
2021-09-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-29
- 2021-12-16
- 2022-03-21
-
2022-04-30
Dose 3 — Moderna
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-16 | Moderna | No |
| 3 | 2022-04-30 | 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.