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235-29871-06861

3 vaccinations 4 coded responses 19 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
296 / SC
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: The fatigue could be from the cancer drug, Lynparza, that I take.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  12. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-11
    Survey response — day 28, dose 2
    MedDRA: Chemotherapy — Feeling: Good · Be unable to do your normal daily activities
    Free text: Chemo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-08-20
    Dose 3 — Pfizer-BioNTech
  21. 2021-10-03
    Survey response — day 42, dose 3
    MedDRA: Cardiac failure, Condition aggravated, Echocardiogram abnormal, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I am having chemo again for prostate cancer. My ankylosing spondylitis is reacting to all I have been through. I will be fortunate to continue to be walking g and active. There is also some indication of heart failure in an echo I had.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-21
    Survey response — 3 months, dose 3
    MedDRA: Chemotherapy, Office visit, Pneumonia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Chemo, now 10 sessions and recent pneumonia. I was checked for COVID with the nasal test, and it was negative. · Healthcare visit (other): Oncology department locally
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-21
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2021-11-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2022-02-19
    Health check-in — 6 months, dose 3
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Pfizer-BioNTech
22021-02-11Pfizer-BioNTech
32021-08-20Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): The fatigue could be from the cancer drug, Lynparza, that I take.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Chemo

Release 9 — day 42, dose 3

2021-10-03

Symptoms: I am having chemo again for prostate cancer. My ankylosing spondylitis is reacting to all I have been through. I will be fortunate to continue to be walking g and active. There is also some indication of heart failure in an echo I had.

Release 10 — 3 months, dose 3

2021-11-21

Symptoms: Chemo, now 10 sessions and recent pneumonia. I was checked for COVID with the nasal test, and it was negative.
Healthcare visit (other): Oncology department locally

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCardiac failure · · ✓
SDChemotherapy ✓ ✓ ✓
SDCondition aggravated · · ✓
SDEchocardiogram abnormal · · ✓
SDPneumonia · · ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test negative · · ✓
SROFatigue ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release