59Y-14351-21738
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 537 / WI
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Fall, Suture insertion, Tooth fracture — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Fell on ice after vaccination, got stitches, broke teeth. Balance issue unrelated to vaccine most likely. · Healthcare visit (other): Fall on ice. Excitement about 2nd dose and less fear about COVID maybe contributed to lack of care walking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Fall, Injury, Specialist consultation — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Injuries from a fall on the ice after the vaccination. · Healthcare visit (other): DentistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Fall — Feeling: Fair · Muscle or body achesFree text: Recovering from fall on ice after vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Recovering from fall on ice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-03-13
- 2021-05-22
- 2021-08-16
- 2021-08-21
-
2022-02-22
Survey response — 12 months, dose 2MedDRA: Anxiety, Stress — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe work-related stress and anxiety, being treated with RxMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fell on ice after vaccination, got stitches, broke teeth. Balance issue unrelated to vaccine most likely.
Healthcare visit (other): Fall on ice. Excitement about 2nd dose and less fear about COVID maybe contributed to lack of care walking.
Systemic reaction (other): Injuries from a fall on the ice after the vaccination.
Healthcare visit (other): Dentist
Systemic reaction (other): Recovering from fall on ice after vaccination.
Systemic reaction (other): Recovering from fall on ice.
Release 11 — 12 months, dose 2
Symptoms: Severe work-related stress and anxiety, being treated with Rx
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 | Fall | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Injury | ✓ | ✓ | ✓ |
| SRO | Suture insertion | ✓ | ✓ | ✓ |
| SRO | Tooth fracture | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release