ZPJ-11214-71817
5 vaccinations
3 coded responses
34 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 722 / AR
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
- 2021-03-27
- 2021-03-31
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2022-03-24
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-23
- 2022-04-29
- 2022-05-09
- 2022-05-19
- 2022-07-09
-
2022-09-22
Dose 5 — Pfizer-BioNTech
- 2022-09-26
-
2022-09-30
Survey response — day 7, dose 5MedDRA: Arthralgia, Asthenia, Balance disorder, Brain fog, Office visit, Pain in extremity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Some minimal brain fog, balance problems, body core weakness, knee and right heel soreness, probably due to my advanced years. I'm 71. Difficult to see what is covid, what is not. · Healthcare visit (other): Orthopedic Physical Therapy and seeking neurologist and neuropsychologist appointmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Report sent to call center — day 7, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-05
Call successfulNot applicable - Accidental Reporting
- 2022-10-06
- 2022-10-14
- 2022-10-21
- 2022-10-27
- 2022-11-03
-
2022-12-22
Survey response — 3 months, dose 5MedDRA: Arthritis, Incontinence, Parkinson's disease, Retinal artery occlusion, Single photon emission computerised tomogram abnor — Feeling: Good · 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: A Datscan showed I have indications of Parkinson's Disease. I have continued incomtinence issues and a stroke on optic nerve of my left eye. Also, arthiritis in both knees. I did not mention these things before because I never related them to COVID.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-23
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: Sinus disorder — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-30 | Successful 2022-10-05 |
Not applicable - Accidental Reporting |
| 2022-12-22 | Unsuccessful |
Free text
Release 12 — day 7, dose 5
Systemic reaction (other): Some minimal brain fog, balance problems, body core weakness, knee and right heel soreness, probably due to my advanced years. I'm 71. Difficult to see what is covid, what is not.
Healthcare visit (other): Orthopedic Physical Therapy and seeking neurologist and neuropsychologist appointments
Release 12 — 3 months, dose 5
Symptoms: A Datscan showed I have indications of Parkinson's Disease. I have continued incomtinence issues and a stroke on optic nerve of my left eye. Also, arthiritis in both knees. I did not mention these things before because I never related them to COVID. cut off by CDC
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 | Arthritis | · | · | ✓ |
| SD | Incontinence | · | · | ✓ |
| SD | Parkinson's disease | · | · | ✓ |
| SD | Retinal artery occlusion | · | · | ✓ |
| SD | Single photon emission computerised tomogram abnor | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release