4MR-23336-00234
4 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 2 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Clumsiness, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Light headed a bit, clumsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: I have vestibular balance issues as a precondition. Due to a tumor in cochlea many years ago. My balance seems notably worse since the second shot. Should I be concerned or will this pass in few days? My balance is always made worse by stress and fatigue. If Im feeling either or both as a result of the vaccine that could explain the increase in dizziness over the past 48 hours since the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-06
- 2021-03-16
- 2021-08-22
-
2021-09-10
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
-
2021-10-12
Survey response — day 28, dose 3MedDRA: Office visit, Pulse abnormal — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Feeling pulsing movements in abdomen. · Healthcare visit (other): Dr office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-22
-
2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-10
Survey response — 3 months, dose 3MedDRA: Influenza, Influenza A virus test positive, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I was confined via positive test Influenza A. A Covid test yielded negative results. Treated for flu A. Much better now. Did have flu shot October 7, 2021. Was over flu in 7-10 days.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-09-10 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed a bit, clumsy
Systemic reaction (other): I have vestibular balance issues as a precondition. Due to a tumor in cochlea many years ago. My balance seems notably worse since the second shot. Should I be concerned or will this pass in few days? My balance is always made worse by stress and fatigue. If Im feeling either or both as a result of the vaccine that could explain the increase in dizziness over the past 48 hours since the shot.
Release 10 — day 28, dose 3
Symptoms: Feeling pulsing movements in abdomen.
Healthcare visit (other): Dr office visit
Release 10 — 3 months, dose 3
Symptoms: I was confined via positive test Influenza A. A Covid test yielded negative results. Treated for flu A. Much better now. Did have flu shot October 7, 2021. Was over flu in 7-10 days.
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 | Influenza | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Pulse abnormal | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Clumsiness | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release