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
-
2021-04-22
Dose 1 — Pfizer-BioNTech
-
2021-05-13
Dose 2 — Pfizer-BioNTech
-
2021-06-17
Registered in v-safe
-
2021-06-17
Survey response — day 35, dose 2, dependentMedDRA: Hypertension, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to do their normal daily activitiesFree text: Feet swelling, blood pressure higher than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-24
Survey response — day 42, dose 2, dependentMedDRA: Oedema, Pre-existing disease — Feeling: Fair · Be unable to do their normal daily activitiesFree 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
-
2021-11-11
Survey response — 6 months, dose 2, dependentMedDRA: 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 visitFree text: Elevated blood pressure and hypoglycemia.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Pfizer-BioNTech | |
| 2 | 2021-05-13 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
Symptoms: Feet swelling, blood pressure higher than normal
Release 9 — day 42, dose 2, dependent
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blood pressure increased | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypoglycaemia | · | · | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release