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
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-03-10
Registered in v-safe
- 2021-03-10
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Back pain, Hypertension, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bilateral back pain, doll back ache with history of BPH. · Healthcare visit (other): 1° Consultation scheduled for Monday with the urologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-05
Survey response — day 35, dose 2MedDRA: Dental discomfort, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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): DentistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
- 2021-05-28
- 2021-06-16
- 2021-08-27
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2021-09-03
Dose 3 — Pfizer-BioNTech
- 2021-10-02
-
2021-10-08
Survey response — day 35, dose 3MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Preparing for cervical spine corrective surgery this MondayMedDRA releases: 2024-11 · check-in free text available
- 2022-03-05
-
2022-04-01
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — day 7, dose 4MedDRA: Pre-existing disease — Feeling: Good · Joint painsFree text: I have marked OA so that pain has not been exacerbated by the second boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
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2022-09-30
Survey response — 6 months, dose 4MedDRA: COVID-19, Influenza like illness, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Contracted Covid three weeks ago. Had flu like symptoms and fever maximum 101.8 Fahrenheit. Took Paxlovid and felt better about a week laterMedDRA releases: 2024-11 · check-in free text available
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2023-04-02
Survey response — 12 months, dose 4MedDRA: Bladder cancer, Bladder neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-02
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-04-04
Call successfulDoes not wish to fill out VAERS report
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2023-04-04
Call successfulDoes not wish to fill out VAERS report
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2023-04-04
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-09-03 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — day 28, dose 2
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
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
Symptoms: Preparing for cervical spine corrective surgery this Monday
Release 11 — day 7, dose 4
Systemic reaction (other): I have marked OA so that pain has not been exacerbated by the second booster
Release 12 — 6 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bladder cancer | · | · | ✓ |
| SD | Bladder neoplasm | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dental discomfort | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release