5TA-30119-39419
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 381 / TN
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-21
Dose 1 — Pfizer-BioNTech
-
2021-05-27
Registered in v-safe
-
2021-05-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-28
Survey response — day 7, dose 1MedDRA: Dizziness, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Facial numbness; lip numbness; some dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Survey response — day 14, dose 1MedDRA: Headache, Hypoaesthesia, Paralysis — Feeling: FairFree text: Facial and lip paralysis & numbness. Headaches continueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Survey response — day 21, dose 1MedDRA: Burning sensation, Dizziness, Headache — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extreme burning back; possible start of shingles. Doctor prescribed antiviral because other patients experienced shingles after the vaccine. Also I have continued headaches and some dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-18
Survey response — day 28, dose 1MedDRA: Ear pain, Headache, Herpes zoster, Hypoaesthesia, Hypoaesthesia oral, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Shingles, facial & lip numbness, headaches, leg muscles aches, ear achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-06-24
-
2021-06-25
Survey response — day 35, dose 1MedDRA: Ear pain, Headache, Hypoaesthesia, Pruritus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Facial numbness; headaches; earache; burning; itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): Facial numbness; lip numbness; some dizziness
Release 8 — day 14, dose 1
Symptoms: Facial and lip paralysis & numbness. Headaches continue
Release 9 — day 21, dose 1
Symptoms: Extreme burning back; possible start of shingles. Doctor prescribed antiviral because other patients experienced shingles after the vaccine. Also I have continued headaches and some dizziness.
Release 9 — day 28, dose 1
Symptoms: Shingles, facial & lip numbness, headaches, leg muscles aches, ear aches
Release 9 — day 35, dose 1
Symptoms: Facial numbness; headaches; earache; burning; itchy
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 |
|---|---|---|---|---|
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Paralysis | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release