BU8-29440-41235
5 vaccinations
7 coded responses
56 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 989 / WA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
28T-37210-40360
Adult relative or friend · Female · 2021-10-19
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Pfizer-BioNTech
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-31
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: for your records: I am a quadruple bypass patient and subject to occassional episodes if angina which leads to a day or so of tiredness, none of which is related to the vaccine(s)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
-
2021-10-05
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · FeverFree text: Temp reported was last evening at about 2100hrs (low grade? for less than 2 hrs)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-19
- 2021-10-28
- 2021-12-30
- 2022-03-29
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Getting old is a pain but better than the alternativeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: No, thank youMedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
-
2022-07-12
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis — Feeling: PoorFree text: Bad cold a month ago I have moved to a different region Do you allow or monitor for that? From zip code (b)(6) Temp outside today is 100* Now that I have your attention please call meMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Dose 5 — Pfizer-BioNTech
- 2022-09-13
-
2022-09-14
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
-
2023-03-10
Survey response — 6 months, dose 5MedDRA: Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Self-medication — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-02 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): for your records: I am a quadruple bypass patient and subject to occassional episodes if angina which leads to a day or so of tiredness, none of which is related to the vaccine(s)
Release 10 — day 7, dose 3
Systemic reaction (other): Temp reported was last evening at about 2100hrs (low grade? for less than 2 hrs)
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Getting old is a pain but better than the alternative
Systemic reaction (other): No, thank you
Release 12 — 3 months, dose 4
Symptoms: Bad cold a month ago I have moved to a different region Do you allow or monitor for that? From zip code (b)(6) Temp outside today is 100* Now that I have your attention please call me
redacted (b)(6)
Release 12 — days 1–6 daily, dose 5
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 | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release