6VE-19328-12207
2 vaccinations
6 coded responses
6 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 310 / GA
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-05-24
Dose 1 — Pfizer-BioNTech
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2021-06-10
Registered in v-safe
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2021-06-10
Survey response — day 14, dose 1MedDRA: Balance disorder, Deafness neurosensory, Office visit, Sudden hearing loss — Feeling: Poor · Be unable to work, 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: Sudden sensorineural hearing loss, equilibrium is off. Off balance. · Healthcare visit (other): ENT appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-14
Dose 2 — Pfizer-BioNTech
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2021-06-14
Survey response — day 0, dose 2MedDRA: Deafness unilateral, Ear discomfort — Feeling: Fair · Site: PainFree text: Not yet. But I still am unable to heart out of my left ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: A little such to the stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — days 1–6 daily, dose 2MedDRA: Deafness — Feeling: FairFree text: Still unable to hear from the first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 2MedDRA: Deafness, Emergency care, Fluid retention, Office visit, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Unable to hear out of left ear. Fluid in lungs, wheezing. · Healthcare visit (other): PCP doctor and ENT specialist along with two ER visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-18
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Deafness, Emergency care, Office visit — Feeling: Poor · Fatigue or tiredness · 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 visitFree text: Systemic reaction (other): Still unable to hear. Balance is off. Went to the ER and had to get a antibiotic shot and prescription. Balance is off too. · Healthcare visit (other): Primary care visit and ENTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-24 | Pfizer-BioNTech | |
| 2 | 2021-06-14 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
Free text
Release 9 — day 14, dose 1
Symptoms: Sudden sensorineural hearing loss, equilibrium is off. Off balance.
Healthcare visit (other): ENT appointment
Release 9 — day 0, dose 2
Systemic reaction (other): Not yet. But I still am unable to heart out of my left ear.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): A little such to the stomach
Systemic reaction (other): Still unable to hear from the first shot
Systemic reaction (other): Unable to hear out of left ear. Fluid in lungs, wheezing.
Healthcare visit (other): PCP doctor and ENT specialist along with two ER visits
Systemic reaction (other): Still unable to hear. Balance is off. Went to the ER and had to get a antibiotic shot and prescription. Balance is off too.
Healthcare visit (other): Primary care visit and ENT
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Deafness neurosensory | ✓ | ✓ | ✓ |
| SD | Sudden hearing loss | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Deafness unilateral | ✓ | · | ✓ |
| SRO | Ear discomfort | ○ | ✓ | ○ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Fluid retention | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release