E4M-29171-76317

3 vaccinations 0 coded responses 5 check-ins 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 190 / PA
Registered: 2022-06-22

Relationship: Child or adolescent in my care
Guardian: QGH-56537-71026
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-11-13
Dose 1 — Pfizer-BioNTech
2021-12-04
Dose 2 — Pfizer-BioNTech
2022-05-24
Dose 3 — Pfizer-BioNTech
2022-06-22
Registered in v-safe
2022-06-22
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-23
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-11-24
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-13	Pfizer-BioNTech	No
2	2021-12-04	Pfizer-BioNTech	No
3	2022-05-24	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.