4NQ-27203-08101
1 vaccination
0 coded responses
8 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 191 / PA
- Registered
- 2021-10-25
- Relationship
- Child or adolescent in my care
- Guardian
- YCR-84238-86050
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-22
Dose 1 — Pfizer-BioNTech
-
2021-10-25
Registered in v-safe
-
2021-10-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2022-01-21
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-22 | 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.