UJ3-16141-81715
3 vaccinations
0 coded responses
28 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 190 / PA
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PR7-15891-38836
Child or adolescent in my care · Female · 2022-07-12
UD2-27796-07910
Child or adolescent in my care · Female · 2022-07-31
Timeline
-
2021-04-18
Registered in v-safe
-
2021-04-18
Dose 1 — Moderna
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-24
- 2021-04-25
- 2021-05-03
- 2021-05-09
- 2021-05-16
-
2021-05-23
Dose 2 — Moderna
- 2021-05-23
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to workAdult check-in
-
2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-06-22
- 2021-06-27
- 2021-07-04
- 2021-08-22
- 2021-11-21
-
2022-02-09
Dose 3 — Pfizer-BioNTech
- 2022-05-11
- 2022-08-10
- 2023-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | |
| 2 | 2021-05-23 | Moderna | |
| 3 | 2022-02-09 | Pfizer-BioNTech | 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.