4EJ-66044-83081
5 vaccinations
4 coded responses
39 check-ins
4 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 727 / AR
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Pfizer-BioNTech
- 2021-01-08
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-02
Dose 2 — Pfizer-BioNTech
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-04
-
2021-08-13
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-11-14
- 2022-02-11
-
2022-03-30
Dose 4 — Moderna
- 2022-04-14
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-21
Dose 5 — Moderna
-
2022-09-28
Survey response — 6 months, dose 4MedDRA: Cancer surgery, Lichen planus, Pyoderma gangrenosum — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Lichen planus where a cancer was removed has developed into pyoderma gangrenosum and I am doing a remicade infusion.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-29
- 2022-10-12
-
2022-10-23
Survey response — day 28, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am on a remicade Infusion for pyoderma gangrenosum and have had worsening of my lesionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-25
- 2022-10-25
-
2022-10-26
Survey response — day 35, dose 5MedDRA: Lichen planus, Pyoderma gangrenosum — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am receiving a remicade Infusion for pyoderma gangrenosum and I also have lichen planus which has been increased since I began the remicade Infusion'sMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-27
- 2022-10-27
- 2022-10-27
- 2022-11-02
-
2022-12-23
Survey response — 3 months, dose 5MedDRA: Craniofacial fracture, Fall, Gait disturbance, Jaw fracture — Feeling: Fair · Be unable to work or attend schoolFree text: I had a fall after slipping on a slick surface and fractured my orbital fossa laterally at the base and my maxillary sinusMedDRA releases: 2024-11 · check-in free text available
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech | |
| 3 | 2021-08-13 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Call center
4 call center cases
3 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 12 — 6 months, dose 4
Symptoms: Lichen planus where a cancer was removed has developed into pyoderma gangrenosum and I am doing a remicade infusion.
Release 12 — day 28, dose 5
Symptoms: I am on a remicade Infusion for pyoderma gangrenosum and have had worsening of my lesion
Release 12 — day 35, dose 5
Symptoms: I am receiving a remicade Infusion for pyoderma gangrenosum and I also have lichen planus which has been increased since I began the remicade Infusion's
Release 12 — 3 months, dose 5
Symptoms: I had a fall after slipping on a slick surface and fractured my orbital fossa laterally at the base and my maxillary sinus
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 |
|---|---|---|---|---|
| SD | Cancer surgery | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Craniofacial fracture | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Jaw fracture | · | · | ✓ |
| SD | Lichen planus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyoderma gangrenosum | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release