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Y6G-68287-56780

2 vaccinations 7 coded responses 7 check-ins 7 free-text entries 5 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
750 / TX
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-12
    Registered in v-safe
  4. 2021-04-12
    Survey response — day 7, dose 2
    MedDRA: Disorientation, Feeling hot, Vision blurred — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Blurred vision, disoriented/foggy feeling, feel really hot with our temperature
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Disturbance in attention, Headache, Office visit, Vision blurred, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: When I got the vaccine I vomited nonstop from 3 am-1pm with the worst imaginable headache Ive ever had. Since then Ive had a headache, achy joints, cant concentrate, blurred vision. All this My reaction to the vaccine. · Healthcare visit (other): Chiropractor for achy joints and headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-16
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: Disorientation, Dizziness, Headache, Impaired work ability, Mobility decreased, Nausea, Spinal pain, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Have had headache spine hurts. Blurred vision dizzy disoriented nausea all since vaccine. Usually up and going at 6am never take off work since vaccine unable to function before 11 unable to get out of bed 2nd day this wk. All since 2nd vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-21
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-30
    Survey response — day 28, dose 2
    MedDRA: Disorientation, Emergency care, Headache, Loss of personal independence in daily activities, Nausea, Vision blurred — 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
    Free text: Dr sent me to ER for MRI to check for blood clot due to severe headache and blurred vision right eye, disoriented and nausea. Had to stay in bed all week unable to function or work and I own my business so not trying to get out of it. Is this normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-30
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-05-06
    Survey response — day 35, dose 2
    MedDRA: Brain fog, Feeling of body temperature change, Flushing, Headache, Middle insomnia, Nausea, Spinal pain, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Wake up at 2am hot and flushed 3am freezing cold 4hot 5 cold headache blurred vision cant read nausea achy spine foggy head. Unable to function for 4 weeks. Was better 2 days then worse again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-06
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-14
    Survey response — day 42, dose 2
    MedDRA: Headache, Nausea, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Still nausea, blurred vision headaches still continue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-12-28
  15. 2022-04-01
    Survey response — 12 months, dose 2
    MedDRA: Aphasia, Arthralgia, Disturbance in attention, Feeling cold, Gait disturbance, Spinal pain, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Every joint in spine and my hips hurt. Hard to walk Trouble concentrating and formulating some words, get extremely cold and unable to get warm, trouble with vision (none of these symptoms prior to vaccine, onset within 12 hours of receiving)
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-01
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  17. 2022-04-05
  18. 2022-05-09
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-16 Unsuccessful
2021-04-21 Unsuccessful
2021-04-30 Unsuccessful
2021-05-06 Unsuccessful
2022-04-01 Successful
2022-05-09
Does not wish to fill out VAERS report

Free text

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Blurred vision, disoriented/foggy feeling, feel really hot with our temperature

Release 7 — day 14, dose 2

2021-04-16

Symptoms: When I got the vaccine I vomited nonstop from 3 am-1pm with the worst imaginable headache Ive ever had. Since then Ive had a headache, achy joints, cant concentrate, blurred vision. All this My reaction to the vaccine.
Healthcare visit (other): Chiropractor for achy joints and headache

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Have had headache spine hurts. Blurred vision dizzy disoriented nausea all since vaccine. Usually up and going at 6am never take off work since vaccine unable to function before 11 unable to get out of bed 2nd day this wk. All since 2nd vaccine.

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Dr sent me to ER for MRI to check for blood clot due to severe headache and blurred vision right eye, disoriented and nausea. Had to stay in bed all week unable to function or work and I own my business so not trying to get out of it. Is this normal cut off by CDC

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Wake up at 2am hot and flushed 3am freezing cold 4hot 5 cold headache blurred vision cant read nausea achy spine foggy head. Unable to function for 4 weeks. Was better 2 days then worse again

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Still nausea, blurred vision headaches still continue.

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Every joint in spine and my hips hurt. Hard to walk Trouble concentrating and formulating some words, get extremely cold and unable to get warm, trouble with vision (none of these symptoms prior to vaccine, onset within 12 hours of receiving)

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
HCVOArthralgia ✓ ✓ ✓
HCVOHeadache ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAphasia · · ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDDisorientation ✓ ✓ ✓
SDDisturbance in attention ✓ ✓ ✓
SDDizziness · · ✓
SDEmergency care ✓ ✓ ✓
SDFeeling cold · · ✓
SDFeeling of body temperature change ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDGait disturbance · · ✓
SDHeadache ✓ ✓ ✓
SDImpaired work ability · · ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDMiddle insomnia ✓ ✓ ✓
SDMobility decreased · · ✓
SDNausea ✓ ✓ ✓
SDSpinal pain ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SDVisual impairment · · ✓
SDVomiting ✓ ✓ ✓
SRODisorientation ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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