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3U7-29597-20573

3 vaccinations 3 coded responses 14 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
995 / AK
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-09
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Brain neoplasm, Brain operation, Hospitalisation, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Brain surgery in Feb to remove a tumor not related to vaccine surgery was already planned. Surgery and the fact I knew Id have a post-surgery recovery in a nursing home was a big reason I went to great effort to get COVID vaccines. Succe · Healthcare visit (other): Hospitalization was due to my surgery which was unrelated to COVID or vaccines.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-10
    Report sent to call center — 6 months, dose 2
    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)
  15. 2021-08-18
  16. 2021-08-26
    Dose 3 — Pfizer-BioNTech
  17. 2021-10-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-10-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-02-24
    Survey response — 6 months, dose 3
    MedDRA: Blindness, Brain neoplasm, COVID-19, Chills, Emergency care, Feeling abnormal, Hospitalisation, Pyrexia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Had COVID Jan 26. Hospitalized overnight but recovered well. Found out 2 days ago, I have a brain tumor. Drs are making a treatment plan this week. This tumor is the main cause of my feeling poorly; I have serious symptoms like I've gone blind. · Healthcare visit (other): Got monoclonal antibody treatment they helped. After the rigors (due to COVID fever) that brought me to the hospital, I had fatigue but mainly recovered well. I'm amazed about that and credit my 3 vaccines (and my healthy lifestyle) for that.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-24
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  22. 2022-02-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Pfizer-BioNTech
22021-02-09Pfizer-BioNTech
32021-08-26Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): No

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Brain surgery in Feb to remove a tumor not related to vaccine surgery was already planned. Surgery and the fact I knew Id have a post-surgery recovery in a nursing home was a big reason I went to great effort to get COVID vaccines. Succe
Healthcare visit (other): Hospitalization was due to my surgery which was unrelated to COVID or vaccines.

Release 11 — 6 months, dose 3

2022-02-24

Symptoms: Had COVID Jan 26. Hospitalized overnight but recovered well. Found out 2 days ago, I have a brain tumor. Drs are making a treatment plan this week. This tumor is the main cause of my feeling poorly; I have serious symptoms like I've gone blind.
Healthcare visit (other): Got monoclonal antibody treatment they helped. After the rigors (due to COVID fever) that brought me to the hospital, I had fatigue but mainly recovered well. I'm amazed about that and credit my 3 vaccines (and my healthy lifestyle) for that.

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
HCVOChills · · ✓
HCVOCOVID-19 · · ✓
HCVOEmergency care · · ✓
HCVOHospitalisation ✓ · ✓
HCVOPyrexia · · ✓
HCVOSurgery ✓ · ✓
SDBlindness · · ✓
SDBrain neoplasm ✓ · ✓
SDBrain operation ✓ · ✓
SDCOVID-19 · · ✓
SDFeeling abnormal · · ✓
SDHospitalisation · · ✓
SRONo adverse event ✓ ✓ ✓

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