2GB-10280-73789
4 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 847 / UT
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness, Emergency care, Nausea, Unevaluable event — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): I awoke at 5:00 a.m. to urinate and realized I had no balance. I was ataxic to the right side. I had been up at 2:00 a.m. and was fine. Anyway, worried about a strong (although I take Eliquis for atrial febrillation) my wife too me to the ER. I had an MR and MRA and checked out fine. I have less ataxia this afternoon at 3:00 pm, but are still a little dizzy and nauseated. · Healthcare visit (other): See previous note.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-22
-
2021-02-23
Survey response — day 7, dose 2MedDRA: Eczema, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms have been going for about 3-4 days. I didn't report them yesterday, because I was in a hurry. I have eczema, also, and I believe that my eczema has acted up, especially over my face, head, neck, upper back and hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-05-26
- 2021-06-09
- 2021-08-17
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2022-02-16
-
2022-04-04
Dose 4 — Moderna
- 2022-04-20
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I awoke at 5:00 a.m. to urinate and realized I had no balance. I was ataxic to the right side. I had been up at 2:00 a.m. and was fine. Anyway, worried about a strong (although I take Eliquis for atrial febrillation) my wife too me to the ER. I had an MR and MRA and checked out fine. I have less ataxia this afternoon at 3:00 pm, but are still a little dizzy and nauseated.
Healthcare visit (other): See previous note.
Release 4 — day 7, dose 2
Systemic reaction (other): These symptoms have been going for about 3-4 days. I didn't report them yesterday, because I was in a hurry. I have eczema, also, and I believe that my eczema has acted up, especially over my face, head, neck, upper back and hands.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release