4JK-27652-47098

4 vaccinations 0 coded responses 3 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 12-15
ZIP prefix: 841 / UT
Registered: 2022-06-27

Relationship: Child or adolescent in my care
Guardian: 9VR-63683-79225
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-15
Dose 1 — Pfizer-BioNTech
2021-06-05
Dose 2 — Pfizer-BioNTech
2022-01-10
Dose 3 — Pfizer-BioNTech
2022-06-27
Registered in v-safe
2022-07-11
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Pfizer-BioNTech
2023-01-10
Health check-in — 12 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Pfizer-BioNTech	No
2	2021-06-05	Pfizer-BioNTech	No
3	2022-01-10	Pfizer-BioNTech	No
4	2022-09-23	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.