3RG-10555-98038

2 vaccinations 0 coded responses 2 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 907 / CA
Registered: 2021-12-11

Relationship: Child or adolescent in my care
Guardian: XTN-29710-53315
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-12-01
Dose 1 — Pfizer-BioNTech
2021-12-11
Registered in v-safe
2021-12-11
Health check-in — day 7, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Dose 2 — Pfizer-BioNTech
2021-12-29
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-01	Pfizer-BioNTech	No
2	2021-12-22	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.