4EN-74121-40179
5 vaccinations
5 coded responses
47 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 838 / ID
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Pfizer-BioNTech
-
2021-02-23
Registered in v-safe
- 2021-02-23
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-09-24
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-12-24
-
2022-03-27
Survey response — 6 months, dose 3MedDRA: Body temperature increased, Cough, SARS-CoV-2 test negative — Feeling: FairFree text: Cough and 99.2 temperature. Suspect cause of cough is moving moldy pile of compost. Temp appeared the day aft. This is day 4. Did at-home Covid test on day 2 of symptoms. NegativeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Dose 4 — Moderna
-
2022-05-14
Survey response — day 21, dose 4MedDRA: Cough, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough caused by exposure to mold and dustMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-09-15
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-15
- 2022-09-16
- 2022-09-17
- 2022-09-18
-
2022-09-19
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal pain — Feeling: GoodFree text: Yesterday I reported abdominal pains. I think it's constipation unrelated to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-09-20
-
2022-09-21
Survey response — days 1–6 daily, dose 5MedDRA: Constipation — Feeling: Fair · Abdominal painFree text: I'm still constipated, it started on Saturday, I thought it was getting better but not today. Not sure that it's related, but it did start shortly after vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — day 7, dose 5MedDRA: Hernia, Office visit — Feeling: Fair · Abdominal painFree text: I'm thinking hernia. At quick care nowMedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 11 — 6 months, dose 3
Symptoms: Cough and 99.2 temperature. Suspect cause of cough is moving moldy pile of compost. Temp appeared the day aft. This is day 4. Did at-home Covid test on day 2 of symptoms. Negative
Release 11 — day 21, dose 4
Symptoms: Cough caused by exposure to mold and dust
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Yesterday I reported abdominal pains. I think it's constipation unrelated to the vaccine
Systemic reaction (other): I'm still constipated, it started on Saturday, I thought it was getting better but not today. Not sure that it's related, but it did start shortly after vaccination
Release 12 — day 7, dose 5
Systemic reaction (other): I'm thinking hernia. At quick care now
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Hernia | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release