RJ4-31036-61687
2 vaccinations
0 coded responses
4 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 064 / CT
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-20
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
-
2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-29
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-05-18
Dose 2 — Moderna
- 2021-05-25
- 2021-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna |
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.