I have currently received my first dose of the vaccine and scheduled to receive the second dose on 2/5/2021.

AUTHOR: Sarah Brown
AUTHOR EMAIL: scademartori9@gmail.com
AUTHOR URL:
SUBJECT: New Participant Sign Up! (HMB Website Referral)
IP: 40.136.22.154
Array
(
[1_Name] => Sarah Brown
[2_Phone] => 7083371132
[3_Email] => scademartori9@gmail.com
[4_ZIP Code] => 60118
[5_How old is your baby? (weeks, months or years)] => 11 months
[6_If currently pregnant, what is your due date?] =>
[7_Are you currently taking any prescription medications?] => Yes
[8_Do you have known or suspected coronavirus (COVID-19)? Symptoms may include fever, cough, loss of taste or smell, etc.] => No
[9_Are you planning to receive (or have you already received) the COVID-19 vaccine?] => Yes
[10_If yes, which brand of the vaccine did you receive?] => Moderna
[11_Do you drink alcohol?] => No
[12_Do you use any recreational drugs?] => No
[13_What are the best days to contact you?] => Array
(
[0] => Mon
[1] => Tue
[2] => Weds
[3] => Thurs
[4] => Fri
[5] => Sat
[6] => Sun
[7] => Flexible
)
[14_What is the best time to contact you?] => 3 pm or latera
[15_Additional Comments:] => I have currently received my first dose of the vaccine and scheduled to receive the second dose on 2/5/2021.
[16_How did you hear about us?] => Personal Referral
[email_marketing_consent] =>
[entry_title] => Participate
[entry_permalink] => https:/mommysmilkresearch.org/participate/
[feedback_id] => bb385c2303f476014396148e407f27c6
)