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DQZ-20775-33974

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
980 / WA
Registered
2021-06-17
Relationship
Adult relative or friend
Guardian
ZQ6-18346-56933
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-17
    Registered in v-safe
  4. 2021-06-17
    Survey response — day 35, dose 2, dependent
    MedDRA: Hypertension, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to do their normal daily activities
    Free text: Feet swelling, blood pressure higher than normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-24
    Survey response — day 42, dose 2, dependent
    MedDRA: Oedema, Pre-existing disease — Feeling: Fair · Be unable to do their normal daily activities
    Free text: Swollen feet. More than before and my wife who doesn't have this problem is experiencing it now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-11-11
    Survey response — 6 months, dose 2, dependent
    MedDRA: Blood pressure increased, Hypoglycaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Elevated blood pressure and hypoglycemia.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-11
    Report sent to call center — 6 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  8. 2021-11-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  9. 2022-05-19

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Pfizer-BioNTech
22021-05-13Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-11-11 Successful
2021-11-12
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — day 35, dose 2, dependent

2021-06-17

Symptoms: Feet swelling, blood pressure higher than normal

Release 9 — day 42, dose 2, dependent

2021-06-24

Symptoms: Swollen feet. More than before and my wife who doesn't have this problem is experiencing it now.

Release 10 — 6 months, dose 2, dependent

2021-11-11

Symptoms: Elevated blood pressure and hypoglycemia.

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
SDBlood pressure increased · · ✓
SDHypertension ✓ ✓ ✓
SDHypoglycaemia · · ✓
SDOedema ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓

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