UM4-19675-65817
3 vaccinations
0 coded responses
21 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 032 / NH
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WZT-20066-39043
Child or adolescent in my care · Female · 2022-06-24
56F-23231-46816
Child or adolescent in my care · Male · 2022-07-23
65B-15512-27411
Child or adolescent in my care · Male · 2022-07-23
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-04
- 2021-01-06
- 2021-01-19
-
2021-01-30
Dose 2 — Moderna
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-05
-
2021-02-06
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-05-01
- 2021-08-02
-
2021-08-15
Dose 3 — Moderna
- 2022-01-30
- 2022-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-08-15 | 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.