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2D6-19801-66400

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 2 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
148 / NY
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Died per free text

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-09-14
    Survey response — 6 months, dose 1
    MedDRA: Cardiac disorder, Cerebrovascular accident, Lipoma, Mass, Neoplasm malignant — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Lipoma like lumps that turned out to be cancer.I am convinced the COVID shot caused this issue to flair up. Now Ive had a stoke and heart issues I believe all caused by covid
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-14
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-09-16
  7. 2022-03-16
    Survey response — 12 months, dose 1
    MedDRA: Death, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: (b)(6) DIED BECAUSE OF THE COVID SHOT!!! It has not been tested and it's a scam. My precious husband is gone because of this. CALL ME AND I WILL Explain why he is DEAD BECAUSE OF THE COVID SHOT. Just so you know I am TELLING EVERYONE THAT!fucktrump! · Healthcare visit (other): Morgue
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-03-16
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  9. 2022-03-17

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 1

2021-09-14

Symptoms: Lipoma like lumps that turned out to be cancer.I am convinced the COVID shot caused this issue to flair up. Now Ive had a stoke and heart issues I believe all caused by covid

Release 11 — 12 months, dose 1

Reports this person's death

2022-03-16

Symptoms: (b)(6) DIED BECAUSE OF THE COVID SHOT!!! It has not been tested and it's a scam. My precious husband is gone because of this. CALL ME AND I WILL Explain why he is DEAD BECAUSE OF THE COVID SHOT. Just so you know I am TELLING EVERYONE THAT!fucktrump! cut off by CDC
Healthcare visit (other): Morgue
redacted (b)(6)

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
HCVOUnevaluable event · · ✓
SDCardiac disorder · · ✓
SDCerebrovascular accident · · ✓
SDDeath · · ✓
SDLipoma · · ✓
SDMass · · ✓
SDNeoplasm malignant · · ✓

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