85W-30477-62906

2 vaccinations 0 coded responses 1 check-in 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 12-15
ZIP prefix: 923 / CA
Registered: 2021-11-04

Relationship: Child or adolescent in my care
Guardian: Z23-35688-00305
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-15
Dose 1 — Pfizer-BioNTech
2021-06-05
Dose 2 — Pfizer-BioNTech
2021-11-04
Registered in v-safe
2021-12-04
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Pfizer-BioNTech	No
2	2021-06-05	Pfizer-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.