ZFE-30711-55341
1 vaccination
9 coded responses
12 check-ins
9 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 939 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Registered in v-safe
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Eye movement disorder, Seizure like phenomena, Tremor — Feeling: Poor · Site: Pain · Fatigue or tiredness · 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 consultation, Emergency room or emergency department visitFree text: Tremors, involuntary behind the eye movement, latent seizure type symptoms for which I went to the ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Seizure — Feeling: Poor · Fatigue or tiredness · 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: Absence seizuresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Dyskinesia, Gait disturbance, Tremor — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Uncontrollable movements, tremors, unstable walkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Dyskinesia, Gait disturbance, Physiotherapy, Tremor — Feeling: Poor · Headache, Fatigue or tiredness · 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: Systemic reaction (other): Continued shaking and uncontrollable I movements. Unsteady gait unable to use stairs or walk alone unassisted · Healthcare visit (other): Vestibular physical therapy evaluationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 1MedDRA: Adverse reaction — Feeling: Fair · 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: Not worsening but unresolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
-
2021-04-24
Survey response — day 35, dose 1MedDRA: Office visit, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tremors resumed after stopping for one day · Healthcare visit (other): Neurology apptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-30
Survey response — day 42, dose 1MedDRA: Middle insomnia, Sleep disorder, Tremor — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Tremors throughout the body Wakes me up at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
-
2021-09-17
Survey response — 6 months, dose 1MedDRA: Anxiety, Fall, Immediate post-injection reaction, Tremor — Feeling: Poor · 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 visitFree text: Increased tremors and anxiety about shaking all the time which started 10 min after receiving my Pfizer vaccine.Fell 2 times while walking outsideMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-03-19
Survey response — 12 months, dose 1MedDRA: Immediate post-injection reaction, Office visit, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increase in tremors that started ten minutes after receding the Pfeiffer vaccine · Healthcare visit (other): (b)(6) specialists Neuro, Nerve, neuro-opthomalogyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-19
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-24
-
2022-12-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-22 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-03-23 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-03-26 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-04-09 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-04-24 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-09-17 | Successful 2021-09-21 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2022-03-19 | Successful 2022-12-16 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tremors, involuntary behind the eye movement, latent seizure type symptoms for which I went to the ER
Systemic reaction (other): Absence seizures
Systemic reaction (other): Uncontrollable movements, tremors, unstable walking
Release 6 — day 7, dose 1
Systemic reaction (other): Continued shaking and uncontrollable I movements. Unsteady gait unable to use stairs or walk alone unassisted
Healthcare visit (other): Vestibular physical therapy evaluation
Release 7 — day 21, dose 1
Symptoms: Not worsening but unresolved
Release 7 — day 35, dose 1
Symptoms: Tremors resumed after stopping for one day
Healthcare visit (other): Neurology appt
Release 8 — day 42, dose 1
Symptoms: Tremors throughout the body Wakes me up at night
Release 9 — 6 months, dose 1
Symptoms: Increased tremors and anxiety about shaking all the time which started 10 min after receiving my Pfizer vaccine.Fell 2 times while walking outside
Release 11 — 12 months, dose 1
Symptoms: Increase in tremors that started ten minutes after receding the Pfeiffer vaccine
Healthcare visit (other): (b)(6) specialists Neuro, Nerve, neuro-opthomalogy
redacted (b)(6)
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 | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Immediate post-injection reaction | · | · | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Dyskinesia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Eye movement disorder | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Seizure like phenomena | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release