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58H-11919-45718

3 vaccinations 0 coded responses 7 check-ins 0 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
750 / TX
Registered
2022-06-21
Relationship
Child or adolescent in my care
Guardian
5GM-38879-71412
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-11
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-03
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-21
    Registered in v-safe
  5. 2022-06-21
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  6. 2022-07-03
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-08
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-15
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-09-02
  10. 2022-12-04
  11. 2023-06-03

Vaccinations

DoseDateManufacturerCo-administered
12021-05-21Pfizer-BioNTech No
22021-06-11Pfizer-BioNTech No
32022-06-03Pfizer-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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