XC4-31514-67185

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

Sex: Male
Age at first dose: 05-11
ZIP prefix: 210 / MD
Registered: 2021-12-22

Relationship: Child or adolescent in my care
Guardian: 24Y-26337-39952
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

2021-12-22
Registered in v-safe
2021-12-22
Dose 1 — Pfizer-BioNTech
2021-12-22
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-22	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.