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69R-23598-75780

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
452 / OH
Registered
2021-03-22
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Prostate cancer, Rheumatoid arthritis — Feeling: Fair · Site: Pain, Redness · Be unable to work
    Free text: I have Rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Prostate cancer, Rheumatoid arthritis — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: I have Rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to work
    Free text: I have Rheumatoid arthritis and prostate cancer no symptoms from the shot and I don't work on disability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Adult check-in
  8. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer don't think I have any symptoms from the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-28
    Survey response — day 7, dose 1
    MedDRA: Prostate cancer, Rheumatoid arthritis — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Rheumatoid arthritis and prostate cancer on disability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-04
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-11
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-11
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Disability, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer on disability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: I have rheumatoid arthritis and prostate cancer don't think the shot is causing anything
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Rheumatoid arthritis and prostate cancer don't work I'm on disability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Disability, Pre-existing disease, Prostate cancer, Rheumatoid arthritis, Unevaluable event — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Rheumatoid arthritis and prostate cancer on disability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-18
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Rheumatoid arthritis and prostate cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-09
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-16
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-23
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergic reaction but it was from another medication
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-10-10
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-04-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Pfizer-BioNTech
22021-04-11Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): I have Rheumatoid arthritis and prostate cancer

2021-03-23

Systemic reaction (other): I have Rheumatoid arthritis and prostate cancer

2021-03-24

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer

2021-03-25

Systemic reaction (other): I have Rheumatoid arthritis and prostate cancer no symptoms from the shot and I don't work on disability

2021-03-27

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer don't think I have any symptoms from the shot.

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Rheumatoid arthritis and prostate cancer on disability

Release 7 — day 0, dose 2

2021-04-11

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer on disability

2021-04-13

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer

2021-04-14

Systemic reaction (other): I have rheumatoid arthritis and prostate cancer don't think the shot is causing anything

2021-04-15

Systemic reaction (other): Rheumatoid arthritis and prostate cancer don't work I'm on disability

2021-04-16

Systemic reaction (other): Rheumatoid arthritis and prostate cancer

2021-04-17

Systemic reaction (other): Rheumatoid arthritis and prostate cancer on disability

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): Rheumatoid arthritis and prostate cancer

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Allergic reaction but it was from another medication

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
SDHypersensitivity ✓ ✓ ✓
SRODisability ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROProstate cancer ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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

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