562-10758-42188
1 vaccination
9 coded responses
12 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Registered in v-safe
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Facial numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Bell's palsy, Paraesthesia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bells palay pins needles left face and tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Facial pins and needles has gone down to a lesser degree today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Eye pain, Facial pain, Glossodynia, Headache, Loss of personal independence in daily activities, Neck pain, Pain in jaw, Paraesthesia, Pruritus, Sleep disorder, Throat irritation, Unevaluable event — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Facial pins and needles on left side. Left side tongye neck ear temples and eye all painful. Left side elbow knee foot SI joint pins and needles. Bilateral elbow itching. Eye tearing due to pain around eye on left. Itching in left ear neck top left hair. Up all night w left throat itching and left jaw pain. Symptoms affect my ability to function since 1 hr after shot. Throat itching and lower zygomatic arch pain severe. Made appt with my doctor since no one has called me from this. · Healthcare visit (other): Made appt with primary care to discuss my options w this reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Taste disorder — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tirednessFree text: Pins and needles head to toe on left side of body are being controlled by 24 hr non drowsy benadryl. I am improving some today! Yeah! Finally lettuce does not taste like eating a cactus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — day 7, dose 1MedDRA: Paraesthesia, Tenderness — Feeling: Good · HeadacheFree text: Facial tenderness from a week of pins a d needles on entire left side of body face arm feet hip leg thoracicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — day 14, dose 1MedDRA: Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tingling in my left face jaw and thoracicsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-11
Survey response — day 21, dose 1MedDRA: Headache, Vertigo — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Return of symotoms in 2 days with headaches vertigo eye jaw involvement. I feel stomach issues and temp changes. I am tired all the tume.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 28, dose 1MedDRA: Diarrhoea, Lacrimation decreased, Lymphadenopathy, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Pins and needles left side of hair face throat neck shoulder l ribs left lumbars left hip to left knee pins and needles to left foot. Swollen loo eft glands under arm. Left crom decreased left eyes tears diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-04-25
- 2021-06-04
- 2022-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Facial numbness
Systemic reaction (other): Bells palay pins needles left face and tongue
Systemic reaction (other): Facial pins and needles has gone down to a lesser degree today.
Systemic reaction (other): Facial pins and needles on left side. Left side tongye neck ear temples and eye all painful. Left side elbow knee foot SI joint pins and needles. Bilateral elbow itching. Eye tearing due to pain around eye on left. Itching in left ear neck top left hair. Up all night w left throat itching and left jaw pain. Symptoms affect my ability to function since 1 hr after shot. Throat itching and lower zygomatic arch pain severe. Made appt with my doctor since no one has called me from this.
Healthcare visit (other): Made appt with primary care to discuss my options w this reaction.
Systemic reaction (other): Pins and needles head to toe on left side of body are being controlled by 24 hr non drowsy benadryl. I am improving some today! Yeah! Finally lettuce does not taste like eating a cactus.
Release 3 — day 7, dose 1
Systemic reaction (other): Facial tenderness from a week of pins a d needles on entire left side of body face arm feet hip leg thoracic
Release 3 — day 14, dose 1
Symptoms: Tingling in my left face jaw and thoracics
Release 4 — day 21, dose 1
Symptoms: Return of symotoms in 2 days with headaches vertigo eye jaw involvement. I feel stomach issues and temp changes. I am tired all the tume.
Release 4 — day 28, dose 1
Symptoms: Pins and needles left side of hair face throat neck shoulder l ribs left lumbars left hip to left knee pins and needles to left foot. Swollen loo eft glands under arm. Left crom decreased left eyes tears diarrhea
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lacrimation decreased | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Bell's palsy | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release