5US-27683-15151
3 vaccinations
5 coded responses
5 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 612 / IL
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-21
Registered in v-safe
-
2021-05-21
Dose 1 — Pfizer-BioNTech
-
2021-05-21
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Muscle or body achesFree text: Numbness and tingling on left side of face and arm (side of injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Numbness and tingling on left side of face and arm (side of injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Dose 2 — Pfizer-BioNTech
-
2021-12-31
Dose 3 — Pfizer-BioNTech
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2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Chills — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Constant shiveringMedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Swelling in the armpitMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Survey response — day 21, dose 3MedDRA: COVID-19, Respiratory disorder, Sinus disorder — Feeling: Fair · Be unable to work or attend school, 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: Breathing problems and sinus problems positive for CovidMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Pfizer-BioNTech | |
| 2 | 2021-06-07 | Pfizer-BioNTech | No |
| 3 | 2021-12-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-21 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Numbness and tingling on left side of face and arm (side of injection)
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness and tingling on left side of face and arm (side of injection)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Constant shivering
Systemic reaction (other): Swelling in the armpit
Release 11 — day 21, dose 3
Symptoms: Breathing problems and sinus problems positive for Covid
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 | COVID-19 | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release