X5F-85764-93623
2 vaccinations
0 coded responses
23 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 009 / PR
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
JCC-11354-39565
Child or adolescent in my care · Female · 2022-06-28
9G3-97200-23019
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2020-12-26
Registered in v-safe
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-02
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Nausea, Vomiting, DiarrheaAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna |
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.