2QM-66704-46028

1 vaccination 0 coded responses 1 check-in 1 free-text entry 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 600 / IL
Registered: 2021-11-28

Relationship: Child or adolescent in my care
Guardian: 5GS-29241-65319
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-07
Dose 1 — Pfizer-BioNTech
2021-11-28
Registered in v-safe
2021-11-28
Health check-in — day 21, dose 1, dependent
Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pityriasis rosea rash dx by pediatrician

Adult check-in · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-07	Pfizer-BioNTech	No

Free text

Release 12 — day 21, dose 1, dependent

2021-11-28

Symptoms: Pityriasis rosea rash dx by pediatrician

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.