EDR-10111-81383
1 vaccination
0 coded responses
6 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 605 / IL
- Registered
- 2021-12-22
- Relationship
- Child or adolescent in my care
- Guardian
- ZHC-29256-49895
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-22
Registered in v-safe
-
2021-12-22
Dose 1 — Pfizer-BioNTech
- 2021-12-22
- 2021-12-24
- 2021-12-26
- 2021-12-27
-
2021-12-31
Health check-in — day 7, dose 1, dependentFeeling: Fair · Fever · None · Be unable to work or attend schoolAdult check-in
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-22 | 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.