6NF-13717-74678
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 456 / OH
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Pfizer-BioNTech
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-12
-
2021-02-18
Dose 2 — Pfizer-BioNTech
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 21, dose 2MedDRA: Balance disorder, Cognitive disorder, Dyspnoea, Fatigue, Oedema, Office visit, Transient ischaemic attack, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Had a TIA over the weekend. Vision and balance changes. A little cognitive loss in doing math. Pitting edema of both lower extremities. Shortness of breath. More easily fatigued and using oxygen more. My niece is writing this for me. · Healthcare visit (other): Eye Doctor assessmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-05-20
Survey response — 3 months, dose 2MedDRA: Amnesia, Cardiac disorder, Cerebrovascular accident, Cognitive disorder, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Residual effects of slight stroke which occurred the first weekend of March 2021, about two weeks after the last Covid injection. Less steady ambulation and cognitive loss. Memory problems. Had a heart cath two weeks ago. Blockage/narrowing of LAD. · Healthcare visit (other): Cardiac Hospital in Columbus Ohio.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-12-28
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 2
Symptoms: Had a TIA over the weekend. Vision and balance changes. A little cognitive loss in doing math. Pitting edema of both lower extremities. Shortness of breath. More easily fatigued and using oxygen more. My niece is writing this for me.
Healthcare visit (other): Eye Doctor assessment
Release 8 — 3 months, dose 2
Symptoms: Residual effects of slight stroke which occurred the first weekend of March 2021, about two weeks after the last Covid injection. Less steady ambulation and cognitive loss. Memory problems. Had a heart cath two weeks ago. Blockage/narrowing of LAD. cut off by CDC
Healthcare visit (other): Cardiac Hospital in Columbus Ohio.
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 | Hospitalisation | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Amnesia | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Transient ischaemic attack | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release