V58-34653-27457

3 vaccinations 0 coded responses 4 check-ins 0 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 009 / PR
Registered: 2022-01-30

Relationship: Other
Guardian: QUJ-18210-08073
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-05-06
Dose 2 — Pfizer-BioNTech
2022-01-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-30
Registered in v-safe
2022-01-30
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-19
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech	No
2	2021-05-06	Pfizer-BioNTech	No
3	2022-01-08	Pfizer-BioNTech	Flu

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.