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5C8-16481-47723

3 vaccinations 5 coded responses 34 check-ins 5 free-text entries 4 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
955 / CA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fall, Mobility decreased, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Fell, but likely due to fragile condition with history of falls and mobility issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-12
    Survey response — day 21, dose 2
    MedDRA: International normalised ratio decreased, Office visit, Pre-existing disease, Rectal haemorrhage, Self-medication, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Rectal bleeding, 03/10/21 and 03/11/21. On Warfarin for Afib for years.Todays INR 1.7. Stopped NSAID on 03/11/21. Being followed by primary doctor, and local Coumadin clinic · Healthcare visit (other): Lab work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-12
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-21
    Survey response — 6 months, dose 2
    MedDRA: Anaemia, International normalised ratio abnormal, Pre-existing disease, Urinary incontinence — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Worsening anemia, urinary incontinence, altered INR
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-21
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-09-26
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  30. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  32. 2021-10-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-10-17
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  35. 2021-10-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-31
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-11
  39. 2021-12-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-03-27
    Survey response — 6 months, dose 3
    MedDRA: Condition aggravated, Hypertension, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Aortic aneurysm worsening. Treated for hypertension, but over medicated Now better. Still just OLD. No Covid, though.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-03-27
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  42. 2022-03-31
  43. 2022-09-26
    Survey response — 12 months, dose 3
    MedDRA: Dysphagia, Hospice care, Metabolic encephalopathy, Pneumonia aspiration, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: CHF, severe dysphagia, aspiration pneumonia, metabolic encephalopathy · Healthcare visit (other): HOSPICE
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-26
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  45. 2022-09-27
    Call successful
    Does not wish to fill out VAERS report
  46. 2022-09-27
    Call successful
    Does not wish to fill out VAERS report
  47. 2022-09-27
    Call successful
    Does not wish to fill out VAERS report
  48. 2022-09-27
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-18Pfizer-BioNTech
32021-09-26Pfizer-BioNTech Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Fell, but likely due to fragile condition with history of falls and mobility issues

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Rectal bleeding, 03/10/21 and 03/11/21. On Warfarin for Afib for years.Todays INR 1.7. Stopped NSAID on 03/11/21. Being followed by primary doctor, and local Coumadin clinic
Healthcare visit (other): Lab work

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Worsening anemia, urinary incontinence, altered INR

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Aortic aneurysm worsening. Treated for hypertension, but over medicated Now better. Still just OLD. No Covid, though.

Release 12 — 12 months, dose 3

2022-09-26

Symptoms: CHF, severe dysphagia, aspiration pneumonia, metabolic encephalopathy
Healthcare visit (other): HOSPICE

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
HCVOHospice care · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAnaemia ✓ · ✓
SDCondition aggravated · · ✓
SDDysphagia · · ✓
SDHypertension · · ✓
SDInternational normalised ratio abnormal ✓ · ✓
SDInternational normalised ratio decreased ✓ · ✓
SDMetabolic encephalopathy · · ✓
SDOffice visit ✓ · ✓
SDPneumonia aspiration · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRectal haemorrhage ✓ ✓ ✓
SDSelf-medication ✓ · ✓
SDUrinary incontinence ✓ · ✓
SROFall ✓ ✓ ✓
SROMobility decreased ○ ✓ ○
SROPre-existing disease ✓ · ✓

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