QJH-13683-79340

4 vaccinations 0 coded responses 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 985 / WA
Registered: 2022-06-22

Relationship: Child or adolescent in my care
Guardian: 5X8-24291-55894

Timeline

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

2021-07-28
Dose 1 — Pfizer-BioNTech
2021-12-28
Dose 2 — Pfizer-BioNTech
2022-06-22
Registered in v-safe
2022-08-02
Dose 3 — Pfizer-BioNTech
2022-10-17
Dose 4 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-28	Pfizer-BioNTech	No
2	2021-12-28	Pfizer-BioNTech	No
3	2022-08-02	Pfizer-BioNTech	No
4	2022-10-17	Moderna	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.