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4HD-67569-76993

4 vaccinations 6 coded responses 20 check-ins 5 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
105 / NY
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-10
    Registered in v-safe
  4. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  5. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Back pain, Hypertension, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bilateral back pain, doll back ache with history of BPH. · Healthcare visit (other): 1° Consultation scheduled for Monday with the urologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-05
    Survey response — day 35, dose 2
    MedDRA: Dental discomfort, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dental: recurrent maxillary sinusitis and generalized dental pains. I am under the impression that when an older person receives a vaccination, its Stubbs the B cell Lymphocyte lines for a day or two? · Healthcare visit (other): Dentist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-05
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-16
  14. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-03
    Dose 3 — Pfizer-BioNTech
  16. 2021-10-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-10-08
    Survey response — day 35, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Preparing for cervical spine corrective surgery this Monday
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-04-01
    Dose 4 — Pfizer-BioNTech
  20. 2022-04-14
    Survey response — day 7, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains
    Free text: I have marked OA so that pain has not been exacerbated by the second booster
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-09-30
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Influenza like illness, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Contracted Covid three weeks ago. Had flu like symptoms and fever maximum 101.8 Fahrenheit. Took Paxlovid and felt better about a week later
    MedDRA releases: 2024-11 · check-in free text available
  28. 2023-04-02
    Survey response — 12 months, dose 4
    MedDRA: Bladder cancer, Bladder neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  29. 2023-04-02
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report
  31. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report
  32. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Pfizer-BioNTech
22021-02-26Pfizer-BioNTech
32021-09-03Pfizer-BioNTech No
42022-04-01Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Bilateral back pain, doll back ache with history of BPH.
Healthcare visit (other): 1° Consultation scheduled for Monday with the urologist

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Dental: recurrent maxillary sinusitis and generalized dental pains. I am under the impression that when an older person receives a vaccination, its Stubbs the B cell Lymphocyte lines for a day or two?
Healthcare visit (other): Dentist

Release 10 — day 35, dose 3

2021-10-08

Symptoms: Preparing for cervical spine corrective surgery this Monday

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): I have marked OA so that pain has not been exacerbated by the second booster

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: Contracted Covid three weeks ago. Had flu like symptoms and fever maximum 101.8 Fahrenheit. Took Paxlovid and felt better about a week later

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBladder cancer · · ✓
SDBladder neoplasm · · ✓
SDCOVID-19 · · ✓
SDDental discomfort ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDPyrexia · · ✓
SDSinusitis ✓ ✓ ✓
SDUnevaluable event · · ✓
SROPre-existing disease · · ✓

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