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557-12069-45210

2 vaccinations 0 coded responses 17 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
934 / CA
Registered
2021-11-18
Relationship
Child or adolescent in my care
Guardian
WY2-24160-28610
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-18
    Registered in v-safe
  3. 2021-11-20
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-26
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-01
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2021-12-08
    Dose 2 — Pfizer-BioNTech
  9. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-12-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-12-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-15
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-24
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-29
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-05
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-12
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-20
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-03-09
  20. 2022-12-10

Vaccinations

DoseDateManufacturerCo-administered
12021-11-17Pfizer-BioNTech No
22021-12-08Pfizer-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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