Y75-11898-81799
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 923 / CA
- Registered
- 2021-08-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-11
Dose 1 — Pfizer-BioNTech
-
2021-08-17
Registered in v-safe
-
2021-08-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Lymphadenopathy, Pre-existing disease, Tinnitus, Unevaluable event — Feeling: Fair · Site: Pain, Swelling, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Painful Lymph nodes under arm pit on same arm vaccine given in. Increase noise in right ear with occasional dizziness . This note in ear was post covid infection. The symptoms have returned 2 days after vaccination · Healthcare visit (other): I will be seeing my pcp august 20thMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Survey response — day 7, dose 1MedDRA: Dizziness, Malaise, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sound in right ear with movement of head and occasional dizziness. This was a post covid symptoms and now after covid vaccine · Healthcare visit (other): PCP appointment on 8/20/21MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2021-09-04
- 2021-09-15
-
2021-11-10
Survey response — 3 months, dose 1MedDRA: Musculoskeletal stiffness, Office visit, Tinnitus, Vertigo — 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 professionalFree text: Symptoms: Severe vertigo and tinnitus and stiff neck. · Healthcare visit (other): PCP visit, labs X-ray and mriMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prno matching call case
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-17 | Unsuccessful | |
| 2021-08-18 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Painful Lymph nodes under arm pit on same arm vaccine given in. Increase noise in right ear with occasional dizziness . This note in ear was post covid infection. The symptoms have returned 2 days after vaccination
Healthcare visit (other): I will be seeing my pcp august 20th
Release 9 — day 7, dose 1
Systemic reaction (other): Sound in right ear with movement of head and occasional dizziness. This was a post covid symptoms and now after covid vaccine
Healthcare visit (other): PCP appointment on 8/20/21
Release 10 — 3 months, dose 1
Symptoms: Severe vertigo and tinnitus and stiff neck.
Healthcare visit (other): PCP visit, labs X-ray and mri
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 | Office visit | ✓ | · | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Malaise | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Tinnitus | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release