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6K9-28648-72001

1 vaccination 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
920 / CA
Registered
2021-05-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-28
    Registered in v-safe
  3. 2021-05-28
    Survey response — day 7, dose 1
    MedDRA: Balance disorder, Tinnitus — Feeling: Poor · Be unable to work
    Free text: Tinnitus really loud beginning last night and problem with my equilibrium
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-03
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Back pain, Myalgia, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Back and hip joint and muscle aches. Never had to this degree before. Tennitus still happening more so in the morning and it has subsided a bit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-10
    Survey response — day 21, dose 1
    MedDRA: Tinnitus — Feeling: Fair
    Free text: Tennitus continues so I didn't get second dose. It seems to have affected my hearing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-17
    Survey response — day 28, dose 1
    MedDRA: Ear discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tennitus continues and is distracting. My ears feel like they are plugged up at times. I have opted not to take the second dose. I plan to get a hearing test soon if it doesn't go away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-24
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-07-01
    Survey response — day 42, dose 1
    MedDRA: Chest discomfort — Feeling: Fair
    Free text: Some heaviness and a little tightness in my chest from the last couple of weeks. Comes and goes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-08-19
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-11-18
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  11. 2022-05-20
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-20Pfizer-BioNTech

Free text

Release 8 — day 7, dose 1

2021-05-28

Systemic reaction (other): Tinnitus really loud beginning last night and problem with my equilibrium

Release 8 — day 14, dose 1

2021-06-03

Symptoms: Back and hip joint and muscle aches. Never had to this degree before. Tennitus still happening more so in the morning and it has subsided a bit.

Release 9 — day 21, dose 1

2021-06-10

Symptoms: Tennitus continues so I didn't get second dose. It seems to have affected my hearing

Release 9 — day 28, dose 1

2021-06-17

Symptoms: Tennitus continues and is distracting. My ears feel like they are plugged up at times. I have opted not to take the second dose. I plan to get a hearing test soon if it doesn't go away.

Release 9 — day 42, dose 1

2021-07-01

Symptoms: Some heaviness and a little tightness in my chest from the last couple of weeks. Comes and goes.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release