ZAA-26153-94919
3 vaccinations
3 coded responses
10 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-02-01
Registered in v-safe
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-05-01
Survey response — 3 months, dose 1MedDRA: Adverse drug reaction, Hospitalisation, Influenza like illness, Pneumonia, Respiratory disorder, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Upper respiratory flu like symptoms that went into phenomena. Doctors put me in hospital & had me on many steroid antibiotics that caused me to get cataracts losing my eyesight which now I have to have surgery in order to see again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-02
Survey response — 6 months, dose 1MedDRA: Blindness, Dyspnoea, Eye operation, Impaired work ability, Influenza like illness, Office visit, Pneumonia, Surgery — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Flu like symptoms, difficulty breathing. Went into pneumonia had to take steroid, antibiotics orally & 2 in my IV's causing me to loose my eye sight & get eye surgery on both eyes in order to see again. · Healthcare visit (other): Surgeries with post, pre op & follow up care causing me to loose work & pay unable to support myselfMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-13
- 2021-08-16
- 2021-08-17
-
2021-08-17
Callback requested for06:45PM ET
-
2022-01-14
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-07-17
-
2023-01-14
Survey response — 12 months, dose 3MedDRA: COVID-19, Malaise — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-14
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-16
-
2023-01-18
Callback requested for12:30PM ET
-
2023-01-18
Call successfulDoes not wish to fill out VAERS report
-
2023-01-18
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | No |
| 3 | 2022-01-14 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-02 | Successful 2023-01-18 |
Does not wish to fill out VAERS report |
| 2023-01-14 | Successful 2023-01-18 |
Does not wish to fill out VAERS report |
Free text
Release 8 — 3 months, dose 1
Symptoms: Upper respiratory flu like symptoms that went into phenomena. Doctors put me in hospital & had me on many steroid antibiotics that caused me to get cataracts losing my eyesight which now I have to have surgery in order to see again.
Release 9 — 6 months, dose 1
Symptoms: Flu like symptoms, difficulty breathing. Went into pneumonia had to take steroid, antibiotics orally & 2 in my IV's causing me to loose my eye sight & get eye surgery on both eyes in order to see again.
Healthcare visit (other): Surgeries with post, pre op & follow up care causing me to loose work & pay unable to support myself
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 | Impaired work ability | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Adverse drug reaction | ✓ | ✓ | ✓ |
| SD | Blindness | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Eye operation | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release