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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

  1. 2021-03-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-15
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-11
    Registered in v-safe
  4. 2021-05-11
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free text: high Diabetics(never had it)- Cramps, out of breath- low energy, lost 20 pounds within 3 weeks, short sight changing- worst, Using insulin now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-11
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-25
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free 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
  8. 2021-05-25
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2022-04-07
  10. 2022-04-12
    Call successful
    Does not wish to fill out VAERS report
  11. 2022-04-15
    Survey response — 12 months, dose 2
    MedDRA: 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, Hospitalization
    Free text: short of Breath make it unconfortable when this happens..several times per day
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-15
    Report sent to call center — 12 months, dose 2
    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 · Hospitalization · 1 call case(s)
  13. 2022-04-19
  14. 2022-04-25

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Pfizer-BioNTech
22021-04-15Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-05-11

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

2021-05-25

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

2022-04-15

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDDiscomfort · · ✓
SDDyspnoea ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓
SDWeight decreased ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release