499-91023-43943
3 vaccinations
9 coded responses
11 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-09-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-11
Dose 1 — Pfizer-BioNTech
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2021-03-05
Dose 2 — Pfizer-BioNTech
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2021-09-30
Registered in v-safe
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — day 0, dose 3MedDRA: Dizziness, Visual impairment — Feeling: Fair · HeadacheFree text: Dizziness & vision problemMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac flutter — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Heart fluttersMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Dizziness, Pre-existing disease, Visual impairment — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: High glucose all day yesterday & today(Im type 1 diabetic); very dizzy; vision still offMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Dizziness, Visual impairment — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Very high blood glucose, extremely dizzy, vision problemsMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Dizziness, Type 1 diabetes mellitus, Visual impairment — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizziness , high glucose (type 1 diabetic), vision badMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Diabetes mellitus, Dizziness, Pre-existing disease, Vision blurred — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: High glucose (type 1 diabetic), dizziness, vision foggyMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Syncope — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Extreme dizziness, faintMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — day 7, dose 3MedDRA: Dizziness, Somnolence, Vision blurred — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Very dizzy, vision foggy,very sleepyMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 14, dose 3MedDRA: Abdominal discomfort, Arthralgia, Diabetes mellitus, Diarrhoea, Dizziness, Pre-existing disease, Type 1 diabetes mellitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Really bad joint pain. Still having some high glucose for no known reason (type 1 diabetic on insulin pump & CGM.) Very dizzy. Feel faint a lot. Still have bad intestinal discomfort with some diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | No |
| 2 | 2021-03-05 | Pfizer-BioNTech | No |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 3
Systemic reaction (other): Dizziness & vision problem
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Heart flutters
Systemic reaction (other): High glucose all day yesterday & today(Im type 1 diabetic); very dizzy; vision still off
Systemic reaction (other): Very high blood glucose, extremely dizzy, vision problems
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness , high glucose (type 1 diabetic), vision bad
Systemic reaction (other): High glucose (type 1 diabetic), dizziness, vision foggy
Systemic reaction (other): Extreme dizziness, faint
Release 10 — day 7, dose 3
Systemic reaction (other): Very dizzy, vision foggy,very sleepy
Release 10 — day 14, dose 3
Symptoms: Really bad joint pain. Still having some high glucose for no known reason (type 1 diabetic on insulin pump & CGM.) Very dizzy. Feel faint a lot. Still have bad intestinal discomfort with some diarrhea
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 | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Type 1 diabetes mellitus | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Cardiac flutter | · | · | ✓ |
| SRO | Diabetes mellitus | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
| SRO | Type 1 diabetes mellitus | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release