Y3F-31157-43394
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 970 / OR
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Registered in v-safe
-
2021-04-04
Dose 1 — Pfizer-BioNTech
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Disorientation, Injection site discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since the vaccination I have had a feeling of slight disorientation/a little off balance and just not myself. I would say that I am feeling better some 23 hours after the shot. Minimal discomfort at injection sight, was able to sleep on it no problem. I am highly sensitive to many prescription and over the counter drugs over my lifetime.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-19
-
2021-04-25
Dose 2 — Pfizer-BioNTech
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-28
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Self-medication, Swelling face, Swollen tongue — Feeling: Poor · Chills · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Last night I woke up around 11:30am because of swelling in my cheeks, tongue. It was severe enough that I considered calling a hospital to try and get into emergency. I took a Zyrtec tab and for the next couple hours tried to calm myself enough to try or go back to sleep. Eventually did much later. I did go to urgency care about mid morning for an answer. Doc felt the problem was either a bite or sting or a reaction to my second coved vaccine I received 5 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-01
- 2021-05-02
- 2021-05-09
- 2021-05-17
- 2021-05-24
- 2021-05-30
- 2021-06-06
- 2021-07-25
- 2021-10-24
- 2022-04-14
- 2022-04-19
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Pfizer-BioNTech | |
| 2 | 2021-04-25 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Since the vaccination I have had a feeling of slight disorientation/a little off balance and just not myself. I would say that I am feeling better some 23 hours after the shot. Minimal discomfort at injection sight, was able to sleep on it no problem. I am highly sensitive to many prescription and over the counter drugs over my lifetime.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Last night I woke up around 11:30am because of swelling in my cheeks, tongue. It was severe enough that I considered calling a hospital to try and get into emergency. I took a Zyrtec tab and for the next couple hours tried to calm myself enough to try or go back to sleep. Eventually did much later. I did go to urgency care about mid morning for an answer. Doc felt the problem was either a bite or sting or a reaction to my second coved vaccine I received 5 days ago.
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 |
|---|---|---|---|---|
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release