4Y8-32163-59203
4 vaccinations
5 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 853 / AZ
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Middle ear effusion — Feeling: GoodFree text: Mild: Fluid in my ear/eardrum just in last couple days since injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Middle ear effusion — Feeling: GoodFree text: Mild: Still have the feeling of fluid in the ear/ear drum.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Middle ear effusion — Feeling: GoodFree text: Mild: Still have the fluid in/on ear/eardrumMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — day 7, dose 1MedDRA: Middle ear effusion — Feeling: Good · Be unable to workFree text: Still feel some fluid in my ear although this may be diminishing a bit now. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2021-01-05
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-04-13
- 2021-07-13
-
2021-11-16
Dose 3 — Pfizer-BioNTech
- 2022-01-12
-
2022-04-23
Dose 4 — Moderna
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-28
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
-
2022-07-23
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I tested positive for Covid-19 last week after exposure on a trip to a class reunion in Lagrange, IN. It felt like a normal sinus infection I have gotten in previous years while flying on a plane. We did fly from Mesa, Az to Ft Wayne, IN on AllegiantMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-23 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild: Fluid in my ear/eardrum just in last couple days since injection
Systemic reaction (other): Mild: Still have the feeling of fluid in the ear/ear drum.
Systemic reaction (other): Mild: Still have the fluid in/on ear/eardrum
Release 1 — day 7, dose 1
Systemic reaction (other): Still feel some fluid in my ear although this may be diminishing a bit now. Mild.
Release 12 — 3 months, dose 4
Symptoms: I tested positive for Covid-19 last week after exposure on a trip to a class reunion in Lagrange, IN. It felt like a normal sinus infection I have gotten in previous years while flying on a plane. We did fly from Mesa, Az to Ft Wayne, IN on Allegiant cut off by CDC
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Middle ear effusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release