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
-
2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Pfizer-BioNTech
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Pfizer-BioNTech
- 2021-02-06
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Morning was tough. Symptoms mild in afternonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness postural, Syncope — Feeling: FairFree text: Dizzy upon getting out of bed. Almost fainted but braced myself against piece of furnitureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: FairFree text: Dizzy at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Dizziness, Gait disturbance, Head discomfort — Feeling: FairFree text: Dizzy which can be severe at times. My head has the feeling of heaviness and my gait at timesI is unsteadyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unsteady gait. Some confusionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — day 7, dose 2MedDRA: Confusional state, Dizziness — Feeling: GoodFree text: Feeling better today as far dizziness. Still have periods of ConfusionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-03-20
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Brain fog, Burning sensation, Memory impairment — Feeling: FairFree text: Brain fog, falling, forgetting, burning legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-07
Survey response — 6 months, dose 2MedDRA: Balance disorder, Memory impairment, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: At times balance is offMemory not as sharpSevere leg crampsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Morning was tough. Symptoms mild in afternon
Systemic reaction (other): Dizzy upon getting out of bed. Almost fainted but braced myself against piece of furniture
Systemic reaction (other): Dizzy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy at times
Systemic reaction (other): Dizzy which can be severe at times. My head has the feeling of heaviness and my gait at timesI is unsteady
Systemic reaction (other): Unsteady gait. Some confusion
Release 4 — day 7, dose 2
Systemic reaction (other): Feeling better today as far dizziness. Still have periods of Confusion
Release 8 — 3 months, dose 2
Symptoms: Brain fog, falling, forgetting, burning legs
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Balance disorder | ✓ | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ○ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release