4RQ-23018-87934
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 571 / SD
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-23
- 2020-12-24
- 2020-12-31
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-08
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain · HeadacheFree text: A little tingling and numbness ..left side mid back. Vaccine in upper left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Injection site pain, Neck pain, Paraesthesia, Self-medication — Feeling: Good · Fever · Headache, Muscle or body achesFree text: Pain from injection site to neck. Tingling/numbness left upper back (injection on left shoulder). Temp only 1.5 degrees higher than normal so not clinically a fever. This has not affected my working and has so far been managed by 4 doses of ibuprofen 600 mg and 1 dose of acetaminophen. The only bizarre thing is the numbness and tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Myalgia, Paraesthesia — Feeling: Good · Headache, Muscle or body achesFree text: I checked muscle ache, but it's more numbness and tingling I'm having on upper middle left back. It's a similar feeling when novocaine is given for a dental procedure and it's wearing off so there's numbness and tingling. Still have this but it's milderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-07
- 2021-02-12
- 2021-02-21
- 2021-04-10
- 2021-07-11
-
2021-09-07
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-05
- 2021-10-13
- 2021-10-20
-
2022-09-09
Survey response — 12 months, dose 3MedDRA: Cough, Headache, Medical counselling, Nausea, Pyrexia, Vomiting — 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 professionalFree text: Symptoms: Fever, headache, coughing, nausea, vomiting · Healthcare visit (other): Call to md for paxlovidMedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Report sent to call center — 12 months, dose 3Be 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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2022-09-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-09-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 2
Systemic reaction (other): A little tingling and numbness ..left side mid back. Vaccine in upper left arm
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Pain from injection site to neck. Tingling/numbness left upper back (injection on left shoulder). Temp only 1.5 degrees higher than normal so not clinically a fever. This has not affected my working and has so far been managed by 4 doses of ibuprofen 600 mg and 1 dose of acetaminophen. The only bizarre thing is the numbness and tingling
Systemic reaction (other): I checked muscle ache, but it's more numbness and tingling I'm having on upper middle left back. It's a similar feeling when novocaine is given for a dental procedure and it's wearing off so there's numbness and tingling. Still have this but it's milder
Release 12 — 12 months, dose 3
Symptoms: Fever, headache, coughing, nausea, vomiting
Healthcare visit (other): Call to md for paxlovid
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 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release