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2J8-20127-76255

1 vaccination 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
442 / OH
Registered
2021-04-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-11
    Registered in v-safe
  3. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Being treated for a cancerous tumor in my mouth, right cheek.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-24
    Survey response — day 14, dose 1
    MedDRA: Lip and/or oral cavity cancer, Oral neoplasm — Feeling: Good
    Free text: Oral cancer. Tumor on right cheek-inside mouth. Scheduled for surgery May 4, 2021..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-02
    Survey response — day 21, dose 1
    MedDRA: Lip and/or oral cavity cancer, Medical counselling, Unevaluable event — Feeling: Fair
    Free text: I have Oral Cancer in my mouth on my cheek. My oncologist recommended not getting the 2nd COVID shot because I am scheduled for cancer removal surgery and reconstruction surgery May 4, 2021. It is estimated I will be hospitalized 5 to 7 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-08
    Survey response — day 28, dose 1
    MedDRA: Hospitalisation, Pre-existing disease, SARS-CoV-2 test negative, Surgery — Feeling: Fair
    Free text: Surgery for cancer. Hospitalized now.Did not take 2nd vaccine. Negative COVID test prior to surgery.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-15
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-05-22
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Being treated for a cancerous tumor in my mouth, right cheek.

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Oral cancer. Tumor on right cheek-inside mouth. Scheduled for surgery May 4, 2021..

Release 8 — day 21, dose 1

2021-05-02

Symptoms: I have Oral Cancer in my mouth on my cheek. My oncologist recommended not getting the 2nd COVID shot because I am scheduled for cancer removal surgery and reconstruction surgery May 4, 2021. It is estimated I will be hospitalized 5 to 7 days.

Release 8 — day 28, dose 1

2021-05-08

Symptoms: Surgery for cancer. Hospitalized now.Did not take 2nd vaccine. Negative COVID test prior to surgery.

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
SDHospitalisation ✓ ✓ ✓
SDLip and/or oral cavity cancer ✓ ✓ ✓
SDMedical counselling ✓ · ✓
SDOral neoplasm ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSurgery ✓ ✓ ✓
SDUnevaluable event ○ ✓ ○
SROPre-existing disease ✓ ✓ ✓

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