4Z4-15834-46394
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 104 / NY
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-02-15
Registered in v-safe
- 2021-02-15
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good · Joint painsFree text: Mild pain in my left. arm. I do not kniw uf it arthritis or the pain is associated with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-21
-
2021-03-08
Dose 2 — Pfizer-BioNTech
- 2021-03-24
- 2021-03-29
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: FairFree text: Numbness in my left arm, with numbness and pain all the way to my fingers. It has awaken me out of my sleep. I will make appointment to see my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-20
Survey response — day 42, dose 2MedDRA: Cerebrovascular accident, Pain, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left foot felt as though It was having a stoke and it was so painful and it became swollen. I cannot put a shoe on. I am going to a foot doctor as soon as I can find one that accepts my health plan.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Pain in extremity, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left arm down to fingers goes numb periodically as well as my left foot on the big tie side swells up and severe pain periodically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-06
Survey response — 6 months, dose 2MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair · 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: Runny nose, sneezing and coughingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
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2022-03-08
Survey response — 12 months, dose 2MedDRA: Cough, Diabetes mellitus, Laboratory test abnormal, Office visit, Renal cyst — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: A severe cough and tested for diabetes and it was positive and a cysts on my kidney · Healthcare visit (other): Dr's appointmentMedDRA releases: 2024-11 · check-in free text available
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2022-03-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-10
- 2022-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-08 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild pain in my left. arm. I do not kniw uf it arthritis or the pain is associated with the vaccine.
Release 7 — day 28, dose 2
Symptoms: Numbness in my left arm, with numbness and pain all the way to my fingers. It has awaken me out of my sleep. I will make appointment to see my doctor.
Release 7 — day 42, dose 2
Symptoms: My left foot felt as though It was having a stoke and it was so painful and it became swollen. I cannot put a shoe on. I am going to a foot doctor as soon as I can find one that accepts my health plan.
Release 8 — 3 months, dose 2
Symptoms: My left arm down to fingers goes numb periodically as well as my left foot on the big tie side swells up and severe pain periodically.
Release 9 — 6 months, dose 2
Symptoms: Runny nose, sneezing and coughing
Release 11 — 12 months, dose 2
Symptoms: A severe cough and tested for diabetes and it was positive and a cysts on my kidney
Healthcare visit (other): Dr's appointment
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 | · | · | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Renal cyst | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release