638-19446-49457

4 vaccinations 6 coded responses 27 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 295 / SC
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

EPQ-90516-82457 Adult relative or friend · Female · 2021-10-02

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-19
Dose 1 — Pfizer-BioNTech
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Site: Pain · Joint pains

Free text: Not sure if this could be a flare up to his rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Joint pains

Free text: Again not sure if it's flare up from the RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-12
Survey response — 6 months, dose 2
MedDRA: COVID-19, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I ended up testing positive for covid 19 and presently I am hurting because of my rheumatoid arthritis I was unable to get my second infusion because I had covid-19 okay · Healthcare visit (other): Monoclonal antibody infusion as well as infusions for rheumatoid arthritis was unable to go for the second infusion due to having covid

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2021-11-22
Dose 3 — Pfizer-BioNTech
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-30
Survey response — day 42, dose 4
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Think I am having a rheumatoid arthritis flare up

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — 6 months, dose 4
MedDRA: Cough, Ear pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: Test positive for covid on 9/13/22. Bad cough, congestion, ears hurt at the end

MedDRA releases: 2024-11 · check-in free text available
2023-04-18
Survey response — 12 months, dose 4
MedDRA: Cough, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Not sure if this could be a flare up to his rheumatoid arthritis

2021-03-18

Systemic reaction (other): Again not sure if it's flare up from the RA

Release 9 — 6 months, dose 2

2021-09-12

Symptoms: I ended up testing positive for covid 19 and presently I am hurting because of my rheumatoid arthritis I was unable to get my second infusion because I had covid-19 okay

Healthcare visit (other): Monoclonal antibody infusion as well as infusions for rheumatoid arthritis was unable to go for the second infusion due to having covid

Release 11 — day 42, dose 4

2022-05-30

Symptoms: Think I am having a rheumatoid arthritis flare up

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Test positive for covid on 9/13/22. Bad cough, congestion, ears hurt at the end

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	COVID-19	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Cough	·	·	✓
SD	Ear pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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