252-51551-96848

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 591 / MT
Registered: 2020-12-16

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Muscle twitching — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Right facial twitching which I have never had before-right forehead, eye and upper cheek.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — day 7, dose 1
MedDRA: Movement disorder, Muscular weakness — Feeling: Fair · Headache, 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 visit, Hospitalization

Free text: Lost use of left arm yesterday -not the arm I received the vaccine in. CT and MRI clear-no clear answer to why left arm limited.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-30
Survey response — day 14, dose 1
MedDRA: Hospitalisation, Mobility decreased, Muscular weakness, Paraesthesia — Feeling: Fair · 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 visit, Hospitalization

Free text: Lost mobility of left arm. Was admitted to hospital for stroke protocol-there was no stroke. There is still no explanation. Left arm remains slightly weak with paresthesia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-06
Call 1 — Left Voicemail
2021-01-11
Call 2 — Left Voicemail
2021-01-11
Call successful
Participant prefers to complete VAERS report online
2021-01-13
Survey response — day 28, dose 1
MedDRA: Paraesthesia, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased left arm paresthesias

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Call 1 — Left Voicemail
2021-03-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-05
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — 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

Free text: Tested positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-07
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): Right facial twitching which I have never had before-right forehead, eye and upper cheek.

Release 1 — day 7, dose 1

2020-12-25

Systemic reaction (other): Lost use of left arm yesterday -not the arm I received the vaccine in. CT and MRI clear-no clear answer to why left arm limited.

Release 1 — day 14, dose 1

2020-12-30

Symptoms: Lost mobility of left arm. Was admitted to hospital for stroke protocol-there was no stroke. There is still no explanation. Left arm remains slightly weak with paresthesia.

Release 1 — day 28, dose 1

2021-01-13

Symptoms: Increased left arm paresthesias

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Tested positive for Covid

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	Hospitalisation	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	○	✓	○
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓

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