49K-11288-80596
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 163 / PA
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-20
Dose 1 — Pfizer-BioNTech
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2021-05-21
Registered in v-safe
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2021-05-21
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Skin burning sensation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Facial numbness and burningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 1MedDRA: Amblyopia, Hypoaesthesia — Feeling: Fair · ChillsFree text: Left eye goes lazy and facial numbness comes and goesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
- 2021-05-24
- 2021-05-27
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2021-06-03
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: FairFree text: My left is starting to drift in and continues to dry out and burnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Survey response — day 28, dose 1MedDRA: Cerebrovascular accident, Seizure — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Not sure if having strokes or siezures. Definitely behaving nuerologist issues. Drs are pretty sure it was caused by vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Report sent to call center — day 28, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-06-24
Survey response — day 35, dose 1MedDRA: Headache, Muscle spasms, Papilloedema, VIth nerve paralysis — Feeling: Poor · 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 visitFree text: 6th nerve palsyOptical nerve is swollen and inflamedHaving episodes that lead to body spasms, headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — day 35, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-28
- 2021-06-28
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2021-06-29
Call successfulCompleted over the phone
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2021-06-29
Call successfulCompleted over the phone
- 2021-07-01
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2021-08-19
Survey response — 3 months, dose 1MedDRA: Headache, Muscle spasms, Neurological symptom — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Still experiencing stroke like episodes, co stant headache, and nerve spasmsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-20 | Pfizer-BioNTech |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Facial numbness and burning
Systemic reaction (other): Left eye goes lazy and facial numbness comes and goes
Release 8 — day 14, dose 1
Symptoms: My left is starting to drift in and continues to dry out and burn
Release 9 — day 28, dose 1
Symptoms: Not sure if having strokes or siezures. Definitely behaving nuerologist issues. Drs are pretty sure it was caused by vaccine.
Release 9 — day 35, dose 1
Symptoms: 6th nerve palsyOptical nerve is swollen and inflamedHaving episodes that lead to body spasms, headaches
Release 9 — 3 months, dose 1
Symptoms: Still experiencing stroke like episodes, co stant headache, and nerve spasms
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 | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Neurological symptom | ✓ | · | ✓ |
| SD | Papilloedema | ✓ | ✓ | ✓ |
| SD | Seizure | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | VIth nerve paralysis | ✓ | ✓ | ✓ |
| SRO | Amblyopia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release