5X8-87320-81575
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 129 / NY
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-17
- 2020-12-18
-
2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Gingival disorder, Head discomfort, Paranasal sinus discomfort, Tooth disorder — Feeling: Fair · Fatigue or tirednessFree text: Sinus pressure, head fullness, pressure upper teeth gumsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-26
- 2020-12-31
-
2021-01-07
Dose 2 — Pfizer-BioNTech
-
2021-01-07
Survey response — day 0, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on left forearm may have been from cleaning solution on table at vaccine podMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-04-08
- 2021-07-10
-
2022-01-09
Survey response — 12 months, dose 2MedDRA: Arthralgia, Balance disorder, Brain fog, Dizziness, Emergency care, Hospitalisation, Nausea, Paraesthesia, Vestibular neuronitis, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Problems with dizziness,fogginess, balance issues and vomitting. In hospital 3 days nausea vomitting. Improving with time since Oct. ENT thinks it may be vestibulr neuritis. Initially the doctors weren't sure. Have also had joint pain and tingling an · Healthcare visit (other): Was in ER/hospital for 3 days in Oct.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-01-11
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus pressure, head fullness, pressure upper teeth gums
Release 1 — day 0, dose 2
Systemic reaction (other): Rash on left forearm may have been from cleaning solution on table at vaccine pod
Release 10 — 12 months, dose 2
Symptoms: Problems with dizziness,fogginess, balance issues and vomitting. In hospital 3 days nausea vomitting. Improving with time since Oct. ENT thinks it may be vestibulr neuritis. Initially the doctors weren't sure. Have also had joint pain and tingling an cut off by CDC
Healthcare visit (other): Was in ER/hospital for 3 days in Oct.
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 | Emergency care | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Vestibular neuronitis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Dental discomfort | ○ | ○ | ○ |
| SRO | Gingival discomfort | ○ | ○ | ○ |
| SRO | Gingival disorder | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tooth disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release