4BU-14441-95773
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 079 / NJ
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Registered in v-safe
- 2021-04-22
-
2021-04-23
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-28
-
2021-05-03
Dose 2 — Pfizer-BioNTech
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Pins and needles feeling in arm injection was receivedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Pins and needles feeling in arm and hand of side where injection was received (left side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 7, dose 2MedDRA: Bursitis, Hypoaesthesia, Medical counselling, Paraesthesia, Product administered at inappropriate site — 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: Systemic reaction (other): Pins and needles and numbness feeling in arm and hands of injection site- reached out to healthcare professional and it was determined vaccine was given too high up on my shoulder and hit nerve. Bursitis diagnosis · Healthcare visit (other): Spoke to CVS minute clinic over phone to determine vaccine was administered incorrectlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-05-26
-
2021-06-03
Call successfulDoes not wish to fill out VAERS report
- 2021-08-02
- 2021-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pins and needles feeling in arm injection was received
Systemic reaction (other): Pins and needles feeling in arm and hand of side where injection was received (left side)
Release 8 — day 7, dose 2
Systemic reaction (other): Pins and needles and numbness feeling in arm and hands of injection site- reached out to healthcare professional and it was determined vaccine was given too high up on my shoulder and hit nerve. Bursitis diagnosis
Healthcare visit (other): Spoke to CVS minute clinic over phone to determine vaccine was administered incorrectly
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 | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Bursitis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Product administered at inappropriate site | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release