3AR-14655-88035
3 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 971 / OR
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-13
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-20
- 2021-03-25
- 2021-05-13
- 2021-08-13
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Musculoskeletal stiffness, Unevaluable event — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Stiff from injection site tmtbru neck. Lasted about 24 hrsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
-
2022-03-30
Survey response — 6 months, dose 3MedDRA: Brain fog, Dizziness, Fatigue, Imperception, Nausea, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue. Foggy brain. Dizzy. Loss of depth perception, nauseous, blurry visionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Survey response — 12 months, dose 3MedDRA: Brain fog, COVID-19, Dizziness, Fatigue, Nausea, Neuropathy peripheral, Office visit, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had round 2 of Covid the end July 2022. Diagnosed with severe neuropathy in hands in feet. Vision changed during first covid incident Jan 2022. Still not diagnosed after seeing multiple Specialists. bouts of dizzy. Foggy brain. Nauseous, fatigue o · Healthcare visit (other): Primary care ENT, Retina, Glaucoma and Neurologist SpecialistMedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-30
- 2022-09-30
-
2022-09-30
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Stiff from injection site tmtbru neck. Lasted about 24 hrs
Release 11 — 6 months, dose 3
Symptoms: Fatigue. Foggy brain. Dizzy. Loss of depth perception, nauseous, blurry vision
Release 12 — 12 months, dose 3
Symptoms: Had round 2 of Covid the end July 2022. Diagnosed with severe neuropathy in hands in feet. Vision changed during first covid incident Jan 2022. Still not diagnosed after seeing multiple Specialists. bouts of dizzy. Foggy brain. Nauseous, fatigue o cut off by CDC
Healthcare visit (other): Primary care ENT, Retina, Glaucoma and Neurologist Specialist
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 | Office visit | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Imperception | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release