ZQR-14574-93122
2 vaccinations
3 coded responses
4 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 337 / FL
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-04-15
Dose 2 — Pfizer-BioNTech
-
2021-05-11
Registered in v-safe
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Asthenia, Dyspnoea, Muscle spasms, Visual impairment, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: high Diabetics(never had it)- Cramps, out of breath- low energy, lost 20 pounds within 3 weeks, short sight changing- worst, Using insulin nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
-
2021-05-25
Survey response — day 35, dose 2MedDRA: Pre-existing disease — 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: Became diabetic and high colesterol, before pfizer vaccination, ...2 weeks before..my blood test showed normal, a week after my 2nd vaccine..blood test...used insulina.. was glucose too high350..enough to scare my dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
-
2022-04-12
Call successfulDoes not wish to fill out VAERS report
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Discomfort, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: short of Breath make it unconfortable when this happens..several times per dayMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-19
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Successful | Does not wish to fill out VAERS report |
| 2021-05-25 | Successful 2022-04-12 |
Does not wish to fill out VAERS report |
| 2022-04-15 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: high Diabetics(never had it)- Cramps, out of breath- low energy, lost 20 pounds within 3 weeks, short sight changing- worst, Using insulin now
Release 8 — day 35, dose 2
Symptoms: Became diabetic and high colesterol, before pfizer vaccination, ...2 weeks before..my blood test showed normal, a week after my 2nd vaccine..blood test...used insulina.. was glucose too high350..enough to scare my dr.
Release 11 — 12 months, dose 2
Symptoms: short of Breath make it unconfortable when this happens..several times per day
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release