A4S-64763-30617

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

Sex: Male
Age at first dose: 05-11
ZIP prefix: 995 / AK
Registered: 2021-11-05

Relationship: Child or adolescent in my care
Guardian: 425-63784-39952
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-11-05
Registered in v-safe
2021-11-05
Dose 1 — Pfizer-BioNTech
Co-administered: Flu
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-05	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.