TM5-51748-91206

1 vaccination 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 314 / GA
Registered: 2021-08-12

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Registered dependents

ERG-18556-67911 Adult relative or friend · Male · 2021-08-12

Timeline

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

2021-08-10
Dose 1 — Moderna
2021-08-12
Registered in v-safe
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	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.