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RCN-42068-30038

4 vaccinations 2 coded responses 29 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
925 / CA
Registered
2021-08-24
Relationship
Other
Guardian
45Z-27087-72315
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-24
    Registered in v-safe
  4. 2021-08-24
    Dose 3 — Pfizer-BioNTech
  5. 2021-08-24
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-08-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-08-26
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-08-27
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-08-28
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-08-29
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-08-30
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-08-31
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-09-07
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2021-09-14
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2021-09-21
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2021-09-28
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2021-10-05
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2021-11-23
  19. 2022-02-22
  20. 2022-03-28
    Dose 4 — Pfizer-BioNTech
  21. 2022-03-30
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · Headache, Joint pains
    Adult check-in
  22. 2022-03-31
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  23. 2022-04-01
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches
    Adult check-in
  24. 2022-04-02
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  25. 2022-04-03
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  26. 2022-04-04
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  27. 2022-04-11
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  28. 2022-04-18
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  29. 2022-04-25
    Survey response — day 28, dose 4, dependent
    MedDRA: Cystitis, Incontinence, Medical counselling, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bladder infection, likely related to incontinence. He has Alzheimer's/Dementia · Healthcare visit (other): Phone appt with Dr on call.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-04-25
    Report sent to call center — day 28, dose 4, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2022-04-26
  32. 2022-05-02
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  33. 2022-05-09
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  34. 2022-06-27
  35. 2022-09-26
    Survey response — 6 months, dose 4, dependent
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had COVID in August 2022
    MedDRA releases: 2024-11 · check-in free text available
  36. 2023-03-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech No
22021-02-26Pfizer-BioNTech No
32021-08-24Pfizer-BioNTech No
42022-03-28Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — day 28, dose 4, dependent

2022-04-25

Symptoms: Bladder infection, likely related to incontinence. He has Alzheimer's/Dementia
Healthcare visit (other): Phone appt with Dr on call.

Release 12 — 6 months, dose 4, dependent

2022-09-26

Symptoms: Had COVID in August 2022

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
HCVOMedical counselling · · ✓
SDCOVID-19 · · ✓
SDCystitis · · ✓
SDIncontinence · · ✓
SDPre-existing disease · · ✓

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

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