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
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-11
Dose 2 — Pfizer-BioNTech
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree 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
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-28
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Chemotherapy — Feeling: Good · Be unable to do your normal daily activitiesFree text: ChemoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-27
- 2021-08-12
-
2021-08-20
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Survey response — day 42, dose 3MedDRA: Cardiac failure, Condition aggravated, Echocardiogram abnormal, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2021-11-21
Survey response — 3 months, dose 3MedDRA: 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 visitFree 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 locallyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-08-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The fatigue could be from the cancer drug, Lynparza, that I take.
Release 5 — day 28, dose 2
Symptoms: Chemo
Release 9 — day 42, dose 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cardiac failure | · | · | ✓ |
| SD | Chemotherapy | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Echocardiogram abnormal | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release