FY4-21308-63478

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

Sex: Male
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-12-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

XV8-16971-98259 Adult relative or friend · Female · 2021-12-15

Timeline

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

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-10-16
Dose 3 — Pfizer-BioNTech
2021-12-15
Registered in v-safe
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech	No
2	2021-04-01	Pfizer-BioNTech	No
3	2021-10-16	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.