4MK-12223-85023
5 vaccinations
11 coded responses
42 check-ins
11 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 405 / KY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-03
Registered in v-safe
- 2021-03-09
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
-
2021-03-20
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Pain from site of shot no longer noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-18
-
2021-09-25
Dose 3 — Pfizer-BioNTech
-
2021-09-27
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: -MedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-09-30
- 2021-10-01
-
2021-10-02
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
-
2021-12-25
Survey response — 3 months, dose 3MedDRA: Dry throat, Influenza A virus test negative, Influenza B virus test negative, Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: Cold and sore/ dry throat, but tested for flu A,B & PCR TEST.and assessed as Negative 12/1 & 12/17. Sore throat seemed to remain about 3 weeks. No fever at any point, noted.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Survey response — 6 months, dose 3MedDRA: Back pain, Hip arthroplasty, Pain — Feeling: GoodFree text: Left side dull back pain above recently replaced hip. Probably unrelated ?MedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-18
- 2022-04-25
-
2022-05-02
Survey response — day 28, dose 4MedDRA: Cough, Dizziness, Influenza, Middle ear effusion, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Self-medication, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold or flu symptoms with no fever. Sore throat, dizzy & stuffy nasal syst, with fluid in ears- just diagnosed as non-covid. URI, & cough. needing Flonase a& Augmentin to stay safe. Starting dosing today.Hm Covid Test Negative before going to clinic.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-04
- 2022-05-09
- 2022-05-16
- 2022-07-04
-
2022-09-14
Dose 5 — Pfizer-BioNTech
-
2022-10-03
Survey response — 6 months, dose 4MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore shoulder joint likely unrelated to Covid booster or any transmissible sputce. · Healthcare visit (other): Chiropractic.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-04
- 2022-10-04
- 2022-10-14
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): Pain from site of shot no longer noticeable.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): -
Release 9 — day 7, dose 3
Systemic reaction (other): None
Release 10 — 3 months, dose 3
Symptoms: Cold and sore/ dry throat, but tested for flu A,B & PCR TEST.and assessed as Negative 12/1 & 12/17. Sore throat seemed to remain about 3 weeks. No fever at any point, noted.
Release 11 — 6 months, dose 3
Symptoms: Left side dull back pain above recently replaced hip. Probably unrelated ?
Release 11 — day 28, dose 4
Symptoms: Cold or flu symptoms with no fever. Sore throat, dizzy & stuffy nasal syst, with fluid in ears- just diagnosed as non-covid. URI, & cough. needing Flonase a& Augmentin to stay safe. Starting dosing today.Hm Covid Test Negative before going to clinic. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Sore shoulder joint likely unrelated to Covid booster or any transmissible sputce.
Healthcare visit (other): Chiropractic.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Hip arthroplasty | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test negative | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release