Y34-25394-80877
4 vaccinations
8 coded responses
42 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 282 / NC
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Pfizer-BioNTech
-
2021-03-10
Registered in v-safe
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-21
-
2021-03-28
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-06-27
-
2021-09-27
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Medical counselling, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Ive had intermittent tingling in my left upper arm. · Healthcare visit (other): I mentioned to my PCP because it was so unusual. I told him I had reported the symptom to Pfizer after he had ruled out any concerns he had.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-29
-
2021-09-29
Call successfulCompleted over the phone
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tirednessFree text: Intermittent Tingling in left arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Good · Fatigue or tirednessFree text: Intermittent tingling in left armMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Good · Fatigue or tirednessFree text: Intermittent tingling in left armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-14
-
2021-10-21
Survey response — day 21, dose 3MedDRA: Blindness transient, Eye haemorrhage — Feeling: Fair · 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: Bleeding in left eye and temporary loss of vision.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
- 2022-03-31
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Injection site pain, Paraesthesia — Feeling: Good · Fatigue or tirednessFree text: Ache at injection site and tingling in left upper arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
- 2022-05-10
-
2022-05-17
Survey response — day 35, dose 4MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling in left arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Survey response — day 42, dose 4MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling in left armMedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
- 2022-10-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech | |
| 2 | 2021-03-28 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-27 | Successful 2021-09-29 |
Completed over the phone |
| 2021-10-21 | Successful 2021-10-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Ive had intermittent tingling in my left upper arm.
Healthcare visit (other): I mentioned to my PCP because it was so unusual. I told him I had reported the symptom to Pfizer after he had ruled out any concerns he had.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Intermittent Tingling in left arm.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Intermittent tingling in left arm
Systemic reaction (other): Intermittent tingling in left arm
Release 10 — day 21, dose 3
Symptoms: Bleeding in left eye and temporary loss of vision.
Release 11 — day 7, dose 4
Systemic reaction (other): Ache at injection site and tingling in left upper arm.
Release 11 — day 35, dose 4
Symptoms: Tingling in left arm.
Release 11 — day 42, dose 4
Symptoms: Tingling in left arm
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 | Adverse reaction | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Blindness transient | · | · | ✓ |
| SD | Eye haemorrhage | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release