U92-19483-50308

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

Sex: Female
Age at first dose: 36-40
ZIP prefix: 971 / OR
Registered: 2021-12-08

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

KRF-33579-67233 Child or adolescent in my care · Female · 2021-12-08

WX3-13083-60137 Child or adolescent in my care · Female · 2021-12-08

GAE-19213-07690 Child or adolescent in my care · Female · 2023-01-14

Timeline

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

2021-03-29
Dose 1 — Moderna
2021-04-26
Dose 2 — Moderna
2021-12-07
Dose 3 — Moderna
2021-12-08
Registered in v-safe
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna	No
2	2021-04-26	Moderna	No
3	2021-12-07	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.