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6XS-48682-09035

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
708 / LA
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Registered in v-safe
  2. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-21
    Survey response — day 0, dose 1
    MedDRA: Asthenia, Bradycardia, Emergency care, Fatigue, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Paraesthesia, Sensation of foreign body — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: 18 minutes post vaccination, I had bradycardia heart rate 35, loss of consciousness with extreme scalp tingling, diaphoresis, globus sensation without airway problems, fatigue and weakness - had to be monitored additional time in ER as less severe symptoms but recurrence of events 30 minutes into iv fluids post initial event
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-21
    Report sent to call center — day 0, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Cough, Palpitations, Sinus congestion — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Cough, sinus congestion, weak spell, palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash over abdomen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2020-12-24
  9. 2020-12-24
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  10. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2020-12-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Headache
    Free text: Cough, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Burning sensation, Hypoaesthesia, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Ipsilateral axillary burning and numbness down both arms while running last night for exercise, resolved after a cool down, lasted about 10 minutes and burning was uncomfortable. No burning to arm or injection site, no swelling or adenopathy. Rash again over abdomen after exercise, self resolvex
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2020-12-28
    Survey response — day 7, dose 1
    MedDRA: Cough, Gastrooesophageal reflux disease, Hypoaesthesia, Injection site paraesthesia, Paraesthesia — Feeling: Good · Site: Itching
    Free text: Overnight woke up from sleep coughing (suspect reflux) but then developed tingling in ipsilateral arm at prior injection site radiating into left breast. This event then led to bilateral arm/hand numbness which self resolved after ten minutes. No swelling or pain to injection site, mainly these neuropathic symptoms with same distribution but less intensity compared to day prior (when numbness occurred during exercise)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-04
    Survey response — day 14, dose 1
    MedDRA: Discomfort, Hypoaesthesia, Oedema peripheral, Pain in jaw — Feeling: Good
    Free text: Ipsilateral axillary fullness without adenopathy which is mildly uncomfortable. Bilateral arm numbness intermittently which is mild. TMJ type pain bilateral jaw but worse on ipsilateral side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  16. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral — Feeling: Good
    Free text: Numbness in the perioral Especially mental,and nasal distribution
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-01-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Good
    Free text: Mental/perioral numbness similar to feeling during observation period post vaccine dose 2
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-01-15
    Survey response — day 7, dose 2
    MedDRA: Paraesthesia, Paraesthesia oral, Upper respiratory tract congestion — Feeling: Good
    Free text: Slight congestion, tingling around mouth/nose but less than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-01-24
    Survey response — day 14, dose 2
    MedDRA: Hypoaesthesia oral, Mental disorder — Feeling: Good
    Free text: Mental/nasolabial numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-01-29
    Survey response — day 21, dose 2
    MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Good
    Free text: Continued chin and lip numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-02-05
    Survey response — day 28, dose 2
    MedDRA: Hypoaesthesia oral, Numb chin syndrome — Feeling: Good
    Free text: Continued chin/upper lip numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-02-12
    Survey response — day 35, dose 2
    MedDRA: Hypoaesthesia, Neuralgia, Oral herpes — Feeling: Fair
    Free text: Continued numbness along chin, worst neuropathic pain to left eye/ear out of proportion to usual nerve pain when I get a break out of fever blisters on my mouth, fever blisters were on both lips and sides instead of just one area on top lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-04-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-07-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-08
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-08Pfizer-BioNTech

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-21

Systemic reaction (other): 18 minutes post vaccination, I had bradycardia heart rate 35, loss of consciousness with extreme scalp tingling, diaphoresis, globus sensation without airway problems, fatigue and weakness - had to be monitored additional time in ER as less severe symptoms but recurrence of events 30 minutes into iv fluids post initial event

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Cough, sinus congestion, weak spell, palpitations

2020-12-24

Systemic reaction (other): Rash over abdomen

2020-12-26

Systemic reaction (other): Cough, congestion

2020-12-27

Systemic reaction (other): Ipsilateral axillary burning and numbness down both arms while running last night for exercise, resolved after a cool down, lasted about 10 minutes and burning was uncomfortable. No burning to arm or injection site, no swelling or adenopathy. Rash again over abdomen after exercise, self resolvex

Release 1 — day 7, dose 1

2020-12-28

Systemic reaction (other): Overnight woke up from sleep coughing (suspect reflux) but then developed tingling in ipsilateral arm at prior injection site radiating into left breast. This event then led to bilateral arm/hand numbness which self resolved after ten minutes. No swelling or pain to injection site, mainly these neuropathic symptoms with same distribution but less intensity compared to day prior (when numbness occurred during exercise)

Release 1 — day 14, dose 1

2021-01-04

Symptoms: Ipsilateral axillary fullness without adenopathy which is mildly uncomfortable. Bilateral arm numbness intermittently which is mild. TMJ type pain bilateral jaw but worse on ipsilateral side.

Release 1 — days 1–6 daily, dose 2

2021-01-11

Systemic reaction (other): Numbness in the perioral Especially mental,and nasal distribution

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Mental/perioral numbness similar to feeling during observation period post vaccine dose 2

Release 2 — day 7, dose 2

2021-01-15

Systemic reaction (other): Slight congestion, tingling around mouth/nose but less than yesterday

Release 2 — day 14, dose 2

2021-01-24

Symptoms: Mental/nasolabial numbness

Release 3 — day 21, dose 2

2021-01-29

Symptoms: Continued chin and lip numbness

Release 3 — day 28, dose 2

2021-02-05

Symptoms: Continued chin/upper lip numbness

Release 4 — day 35, dose 2

2021-02-12

Symptoms: Continued numbness along chin, worst neuropathic pain to left eye/ear out of proportion to usual nerve pain when I get a break out of fever blisters on my mouth, fever blisters were on both lips and sides instead of just one area on top lip.

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

FieldPreferred term2021-092023-042024-11
SDDiscomfort ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDHypoaesthesia oral ✓ ✓ ✓
SDMental disorder ✓ ✓ ✓
SDNeuralgia ✓ ✓ ✓
SDNumb chin syndrome ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBradycardia ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site paraesthesia ✓ ✓ ✓
SROLoss of consciousness ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSensation of foreign body ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓
SROUpper respiratory tract congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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