V5K-11691-69417
5 vaccinations
0 coded responses
59 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
PDR-68703-20784
Child or adolescent in my care · Female · 2022-07-02
UST-51800-57807
Child or adolescent in my care · Female · 2022-09-06
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
- 2021-10-15
-
2021-11-11
Dose 3 — Moderna
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-26
- 2021-12-02
- 2021-12-09
- 2021-12-17
- 2021-12-23
- 2022-02-10
- 2022-05-12
-
2022-06-20
Dose 4 — Pfizer-BioNTech
- 2022-06-20
- 2022-06-21
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-29
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-07-25
- 2022-08-01
-
2022-09-13
Dose 5 — Pfizer-BioNTech
- 2022-09-13
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-27
- 2022-10-11
- 2022-10-18
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-06-20 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | 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.