EJK-30507-61477
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
- 165 / PA
- Registered
- 2021-10-28
- Relationship
- Child or adolescent in my care
- Guardian
- 23R-15439-15814
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Dose 1 — Pfizer-BioNTech
-
2021-08-27
Dose 2 — Pfizer-BioNTech
-
2021-10-28
Registered in v-safe
- 2021-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | 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.