T86-21530-15337
3 vaccinations
0 coded responses
32 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 841 / UT
- Registered
- 2021-06-22
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Registered dependents
EA5-29731-91939
Adult relative or friend · Male · 2021-10-18
XXX-19515-86420
Adult relative or friend · Female · 2021-11-09
Timeline
-
2021-06-21
Dose 1 — Moderna
-
2021-06-22
Registered in v-safe
- 2021-06-22
- 2021-06-23
- 2021-06-24
-
2021-06-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-26
- 2021-06-27
- 2021-06-28
- 2021-07-05
- 2021-07-12
-
2021-07-19
Dose 2 — Moderna
- 2021-07-19
-
2021-07-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-21
- 2021-07-22
- 2021-07-23
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-08-02
- 2021-08-10
- 2021-08-16
- 2021-08-23
- 2021-08-30
- 2021-10-18
- 2022-01-19
-
2022-04-22
Dose 3 — ModernaCo-administered: Other
- 2022-04-30
- 2022-05-06
- 2022-05-15
- 2022-05-20
- 2022-05-29
- 2022-06-05
- 2022-07-22
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-21 | Moderna | No |
| 2 | 2021-07-19 | Moderna | No |
| 3 | 2022-04-22 | Moderna | Other |
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.