3VP-20019-06847
3 vaccinations
7 coded responses
25 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 206 / MD
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Pfizer-BioNTech
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Pfizer-BioNTech
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams — Feeling: Good · DiarrheaFree text: Vivid dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Neuropathy peripheral, Paraesthesia — Feeling: GoodFree text: Phantom neuropathy tingling sensation on the left semi of my head from left fore-head to left side of my neck. It occurred for about 4 days, but now subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 28, dose 2MedDRA: Tendon pain — Feeling: GoodFree text: Left top foot tendon pain for about a week now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-19
Survey response — day 42, dose 2MedDRA: Tendon pain — Feeling: GoodFree text: Same pain at the top tendon of my foot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-08-08
Survey response — 6 months, dose 2MedDRA: Facial spasm, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bilateral uncontrollably cheeks movement when I try to smile · Healthcare visit (other): Has appointment to see a neurologistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-24
Call successfulCompleted over the phone
-
2021-12-18
Dose 3 — Pfizer-BioNTech
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Facial spasm, Muscle twitching, Office visit, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still experiencing bilateral uncontrollably facial cheeks tweaking/shaking/spasms when I try to smile. · Healthcare visit (other): Saw a specialist- NeurologistMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-03-19
- 2022-06-18
-
2022-12-18
Survey response — 12 months, dose 3MedDRA: Facial spasm, Office visit, Paraesthesia, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I tested positive for COVID-19 and developed uncontrollable bilateral cheeks spasms whenever I try to smile, I saw a neurologist who thinks it might be Bell's Palsy. I'm also experiencing paresthesias on my left index finger and my right index finger · Healthcare visit (other): I have a scheduled appointment to see a neurologist for paresthesias of my fingersMedDRA releases: 2024-11 · check-in free text available
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2022-12-18
Report sent to call center — 12 months, dose 3Get 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)
-
2022-12-19
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-12-18 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Vivid dreams
Release 4 — day 21, dose 2
Symptoms: Phantom neuropathy tingling sensation on the left semi of my head from left fore-head to left side of my neck. It occurred for about 4 days, but now subsided.
Release 5 — day 28, dose 2
Symptoms: Left top foot tendon pain for about a week now.
Release 5 — day 42, dose 2
Symptoms: Same pain at the top tendon of my foot.
Release 9 — 6 months, dose 2
Symptoms: Bilateral uncontrollably cheeks movement when I try to smile
Healthcare visit (other): Has appointment to see a neurologist
Release 11 — 12 months, dose 2
Symptoms: Still experiencing bilateral uncontrollably facial cheeks tweaking/shaking/spasms when I try to smile.
Healthcare visit (other): Saw a specialist- Neurologist
Release 12 — 12 months, dose 3
Symptoms: I tested positive for COVID-19 and developed uncontrollable bilateral cheeks spasms whenever I try to smile, I saw a neurologist who thinks it might be Bell's Palsy. I'm also experiencing paresthesias on my left index finger and my right index finger cut off by CDC
Healthcare visit (other): I have a scheduled appointment to see a neurologist for paresthesias of my fingers
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 | Paraesthesia | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Facial spasm | ✓ | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tendon pain | ✓ | ✓ | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release