665-11505-18249
4 vaccinations
0 coded responses
27 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 064 / CT
- Registered
- 2021-11-29
- Relationship
- Child or adolescent in my care
- Guardian
- XV5-20876-68468
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-17
Dose 1 — Pfizer-BioNTech
-
2021-06-07
Dose 2 — Pfizer-BioNTech
-
2021-11-29
Registered in v-safe
- 2021-12-08
-
2022-01-07
Dose 3 — Pfizer-BioNTech
- 2022-01-07
-
2022-01-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-10
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
- 2022-01-11
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-23
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-04-08
- 2022-07-08
-
2022-10-27
Dose 4 — Pfizer-BioNTech
- 2022-10-27
-
2022-10-28
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-11-01
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-11-04
- 2022-11-10
- 2022-11-17
- 2022-11-26
- 2022-12-01
- 2022-12-08
- 2023-01-26
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-17 | Pfizer-BioNTech | No |
| 2 | 2021-06-07 | Pfizer-BioNTech | No |
| 3 | 2022-01-07 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | No |
Free text
None.
Free-text releases are not linked to a specific 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.