Y3P-25670-91226
2 vaccinations
0 coded responses
9 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 112 / NY
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Registered dependents
UCB-14143-87607
Child or adolescent in my care · Male · 2021-08-12
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-19
- 2021-04-24
- 2021-04-29
-
2021-05-13
Dose 2 — Moderna
- 2021-05-19
- 2021-06-26
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | 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.