S8M-66889-21766

3 vaccinations 0 coded responses 9 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 325 / FL
Registered: 2021-12-01

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

B4V-26655-77116 Child or adolescent in my care · Male · 2021-12-01

P89-11470-94818 Child or adolescent in my care · Female · 2022-07-11

S86-21948-59479 Child or adolescent in my care · Male · 2022-07-11

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-27
Dose 1 — Moderna
2021-04-26
Dose 2 — Moderna
2021-12-01
Registered in v-safe
2021-12-03
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna	No
2	2021-04-26	Moderna	No
3	2021-12-03	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.