675-39446-98779
5 vaccinations
3 coded responses
44 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 041 / ME
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
-
2021-01-25
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction — Feeling: GoodFree text: 5 minutes of serious dizziness 2 hours after vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Gait disturbance — Feeling: GoodFree text: Slight feeling of instability when walking after a distanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Pfizer-BioNTech
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-05-17
Survey response — 3 months, dose 2MedDRA: Brain fog, Metamorphopsia, Office visit, Vision blurred, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Vision distortion, more often and longer lasting than usual. Including wiggly vibrantly colored worms, blurry vision. Each lasted less than an hour. Would have been uncomfortable to work or drive during episodes. Ended 7 weeks after second shot · Healthcare visit (other): In no office eye doctor visit. No recommendations givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2022-02-15
-
2022-04-20
Dose 4 — Moderna
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-09-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-15 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): 5 minutes of serious dizziness 2 hours after vaccination
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slight feeling of instability when walking after a distance
Release 8 — 3 months, dose 2
Symptoms: Vision distortion, more often and longer lasting than usual. Including wiggly vibrantly colored worms, blurry vision. Each lasted less than an hour. Would have been uncomfortable to work or drive during episodes. Ended 7 weeks after second shot
Healthcare visit (other): In no office eye doctor visit. No recommendations given
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 | Metamorphopsia | ✓ | ✓ | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release