F3A-17183-32219
3 vaccinations
0 coded responses
18 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 100 / NY
- Registered
- 2021-09-26
- Relationship
- Child or adolescent in my care
- Guardian
- 5KQ-13413-93345
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-28
Dose 1 — Pfizer-BioNTech
-
2021-09-19
Dose 2 — Pfizer-BioNTech
-
2021-09-26
Registered in v-safe
- 2021-09-26
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-12-19
- 2022-03-20
-
2022-06-02
Dose 3 — Pfizer-BioNTech
-
2022-06-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-09
- 2022-07-14
- 2022-09-01
- 2022-12-01
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-28 | Pfizer-BioNTech | No |
| 2 | 2021-09-19 | Pfizer-BioNTech | No |
| 3 | 2022-06-02 | 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.