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Z84-30175-02752

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
109 / NY
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-06
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-06
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Morning was tough. Symptoms mild in afternon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness postural, Syncope — Feeling: Fair
    Free text: Dizzy upon getting out of bed. Almost fainted but braced myself against piece of furniture
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair
    Free text: Dizzy at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Dizziness, Gait disturbance, Head discomfort — Feeling: Fair
    Free text: Dizzy which can be severe at times. My head has the feeling of heaviness and my gait at timesI is unsteady
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Unsteady gait. Some confusion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Confusional state, Dizziness — Feeling: Good
    Free text: Feeling better today as far dizziness. Still have periods of Confusion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-08
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Burning sensation, Memory impairment — Feeling: Fair
    Free text: Brain fog, falling, forgetting, burning legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Balance disorder, Memory impairment, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities
    Free text: At times balance is offMemory not as sharpSevere leg cramps
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-02-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Pfizer-BioNTech
22021-02-06Pfizer-BioNTech

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Morning was tough. Symptoms mild in afternon

2021-02-08

Systemic reaction (other): Dizzy upon getting out of bed. Almost fainted but braced myself against piece of furniture

2021-02-09

Systemic reaction (other): Dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizzy at times

2021-02-11

Systemic reaction (other): Dizzy which can be severe at times. My head has the feeling of heaviness and my gait at timesI is unsteady

2021-02-12

Systemic reaction (other): Unsteady gait. Some confusion

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Feeling better today as far dizziness. Still have periods of Confusion

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Brain fog, falling, forgetting, burning legs

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: At times balance is offMemory not as sharpSevere leg cramps

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
SDBalance disorder ✓ · ✓
SDBrain fog ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDMuscle spasms ✓ · ✓
SROCondition aggravated ✓ ✓ ○
SROConfusional state ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODizziness postural ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROSyncope ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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