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54R-10662-05016

4 vaccinations 0 coded responses 8 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
992 / WA
Registered
2022-04-21
Relationship
Other
Guardian
6K3-23536-25230
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-13
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  4. 2022-04-14
    Dose 4 — Pfizer-BioNTech
  5. 2022-04-21
    Registered in v-safe
  6. 2022-04-21
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-04-28
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  8. 2022-05-05
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  9. 2022-05-14
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  10. 2022-05-20
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  11. 2022-05-27
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-14
  13. 2022-10-14

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Pfizer-BioNTech No
22021-03-30Pfizer-BioNTech No
32021-10-13Pfizer-BioNTech Flu
42022-04-14Pfizer-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.

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