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
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2021-03-10
Dose 1 — Pfizer-BioNTech
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2021-03-31
Dose 2 — Pfizer-BioNTech
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2021-04-12
Registered in v-safe
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2021-04-12
Survey response — day 7, dose 2MedDRA: 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 activitiesFree text: Blurred vision, disoriented/foggy feeling, feel really hot with our temperatureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 14, dose 2MedDRA: 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 consultationFree 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 headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 14, dose 2Be 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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2021-04-21
Survey response — day 21, dose 2MedDRA: 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 consultationFree 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
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2021-04-21
Report sent to call center — day 21, dose 2Be 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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2021-04-30
Survey response — day 28, dose 2MedDRA: 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 visitFree 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 normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, dose 2Be 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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2021-05-06
Survey response — day 35, dose 2MedDRA: 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 consultationFree 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 againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — day 35, dose 2Be 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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2021-05-14
Survey response — day 42, dose 2MedDRA: Headache, Nausea, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Still nausea, blurred vision headaches still continue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-12-28
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2022-04-01
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
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2022-04-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-05
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2022-05-09
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Blurred vision, disoriented/foggy feeling, feel really hot with our temperature
Release 7 — day 14, dose 2
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
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
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
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
Symptoms: Still nausea, blurred vision headaches still continue.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Arthralgia | ✓ | ✓ | ✓ |
| HCVO | Headache | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Aphasia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Disorientation | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Spinal pain | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release