5JV-30955-95155
2 vaccinations
7 coded responses
9 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-11
Dose 1 — Pfizer-BioNTech
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2021-01-27
Registered in v-safe
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2021-01-27
Survey response — day 14, dose 1MedDRA: Chest pain, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to work, 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: On Jan 19th night, I developed severe pain in chest; left side lower end of my sternum, it lasted for 4 hours. Since then I am having pain in my left arm radiating to pinky, numbness & tingling when I sleep on left side. Pain reduced but still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-08
Dose 2 — Pfizer-BioNTech
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-02-16
Survey response — day 7, dose 2MedDRA: Hypoaesthesia, Injection site paraesthesia, Pain in extremity — Feeling: GoodFree text: My left arm still pains with tingling numbness from my first Covid vaccine shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 2MedDRA: Back pain, Chest pain, Neck pain, Pain, Pain in extremity — Feeling: Poor · Be unable to workFree text: The pain in my left arm and left chest came back since Sunday evening Feb 28. I started having pain in my left arm and left chest since my first Covid vaccine shot. Pain reappeared left arm, left chest pain radiating to left pinky, neck, upper backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 28, dose 2MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to work, 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: Pain in my left arm continues, with tingling and numbness when I hold phone longer.Have a neurologist appointment this FridayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-15
Survey response — day 35, dose 2MedDRA: Chest pain, Muscular weakness, Office visit, Pain in extremity — Feeling: Fair · Be unable to work, 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: Pain and weakness in my left arm persist with little improvement. Pain in chest persist with little improvement. I visited a neurologist who would like to do EMG in AprilAll symptoms started after my first Covid vaccine shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
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2021-05-12
Survey response — 3 months, dose 2MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The left arm pain still remains and aggravates when I sleep on the left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
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2022-02-08
Survey response — 12 months, dose 2MedDRA: Hypoaesthesia, Muscular weakness, Office visit, Pain, Pain in extremity, Sleep disorder — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have not yet completely recovered from my first Covid Vaccine dose on my right arm. I still feel weakness and mild pain radiating from my right arm through my right hand pinky. If I sleep on the affected left arm longer, I feel pain and numbness. · Healthcare visit (other): NeurologistMedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-11
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — day 14, dose 1
Symptoms: On Jan 19th night, I developed severe pain in chest; left side lower end of my sternum, it lasted for 4 hours. Since then I am having pain in my left arm radiating to pinky, numbness & tingling when I sleep on left side. Pain reduced but still there. cut off by CDC
Release 4 — day 7, dose 2
Systemic reaction (other): My left arm still pains with tingling numbness from my first Covid vaccine shot
Release 4 — day 21, dose 2
Symptoms: The pain in my left arm and left chest came back since Sunday evening Feb 28. I started having pain in my left arm and left chest since my first Covid vaccine shot. Pain reappeared left arm, left chest pain radiating to left pinky, neck, upper back cut off by CDC
Release 5 — day 28, dose 2
Symptoms: Pain in my left arm continues, with tingling and numbness when I hold phone longer.Have a neurologist appointment this Friday
Release 5 — day 35, dose 2
Symptoms: Pain and weakness in my left arm persist with little improvement. Pain in chest persist with little improvement. I visited a neurologist who would like to do EMG in AprilAll symptoms started after my first Covid vaccine shot
Release 8 — 3 months, dose 2
Symptoms: The left arm pain still remains and aggravates when I sleep on the left side.
Release 11 — 12 months, dose 2
Symptoms: I have not yet completely recovered from my first Covid Vaccine dose on my right arm. I still feel weakness and mild pain radiating from my right arm through my right hand pinky. If I sleep on the affected left arm longer, I feel pain and numbness. cut off by CDC
Healthcare visit (other): Neurologist
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release