595-27676-65964

3 vaccinations 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 113 / NY
Registered: 2022-02-23

Relationship: Other
Guardian: 53U-27571-39855

Timeline

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

2021-02-03
Dose 1 — Moderna
2021-03-03
Dose 2 — Moderna
2021-11-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-02-23
Registered in v-safe

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna	No
2	2021-03-03	Moderna	No
3	2021-11-01	Pfizer-BioNTech	Flu

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.