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Y4L-20406-70466

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 6 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
129 / NY
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-27
    Registered in v-safe
  4. 2021-01-27
    Survey response — day 14, dose 2
    MedDRA: Anxiety, Arthralgia, Asthenia, Chest pain, Cough, Dizziness, Dyspnoea, Erythema, Headache, Hypoaesthesia, Nausea, Pulmonary pain, Pyrexia, Sensation of foreign body — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: This is the first check in:dry coughshortness of breathchest/lung painimpending doomdizzyjoint painweaknessnauseahand/feet/facial numbnessfacial rednessheadachefeverfeeling as if something is stuck in throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-27
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-02
    Survey response — day 21, dose 2
    MedDRA: Aphasia, Asthenia, Dysphagia, Headache, Hippus, Hospitalisation, Hypoaesthesia, Mobility decreased, Nausea, Neurological symptom, Retching, Tunnel vision, Urinary retention — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Neurological symptoms. Headache, numbness, nausea, dry heaves, urinary retention, episodes of extreme weakness which cause difficulty in swallowing, talking, moving. Numbness to entire body, but worse in the left side. Tunnel vision. Hippus. · Healthcare visit (other): Currently hospitalized at (b)(6) in Burlington Vermont
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-02
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-09
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain, Back pain, Burning sensation, Chest pain, Constipation, Dizziness, Gait disturbance, Hypoaesthesia eye, Limb discomfort, Neck pain, Office visit, Paraesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: severe constipation, no urge to pee or poop, severe abd pain, neck and back pain, left arm heaviness, left sided numbness, difficulty in walking, pins and needles in right arm, burning right foot, hippus, dizziness, left eye numbness, chest pain, etc · Healthcare visit (other): Neurology
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-16
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Bone pain, Chest pain, Dyspnoea, Fatigue, Mobility decreased, Muscle spasms, Office visit, Speech disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have had 120+ episodes of severe weakness/ fatigue that leave me unable to move, speak, swallow at times. Sometime I can speak but it is very slow. Episodes last 5 seconds to 1.5 hours. Severe bone pain, chest pain, shortness of breath, ribs spasms · Healthcare visit (other): Neurologist/immunologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-22
    Survey response — day 42, dose 2
    MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Right sided numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-22
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-04-14
    Survey response — 3 months, dose 2
    MedDRA: Aura, Hypoaesthesia, Mobility decreased, Specialist consultation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I mostly had left sided numbness before. Now I have intermittent bilateral hand, arm, feet, numbness - to the point where my left hand is so numb its hard to make my left hand function properly, auras, Hippus (objects pulsate at me at times) · Healthcare visit (other): Neurology, immunology, counselor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-06-08
  17. 2022-01-17
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-20Pfizer-BioNTech
22021-01-11Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-01-27 Unsuccessful
2021-02-02 Unsuccessful
2021-02-09 Unsuccessful
2021-02-16 Unsuccessful
2021-02-22 Unsuccessful
2021-04-14 Unsuccessful

Free text

Release 2 — day 14, dose 2

2021-01-27

Symptoms: This is the first check in:dry coughshortness of breathchest/lung painimpending doomdizzyjoint painweaknessnauseahand/feet/facial numbnessfacial rednessheadachefeverfeeling as if something is stuck in throat

Release 3 — day 21, dose 2

2021-02-02

Symptoms: Neurological symptoms. Headache, numbness, nausea, dry heaves, urinary retention, episodes of extreme weakness which cause difficulty in swallowing, talking, moving. Numbness to entire body, but worse in the left side. Tunnel vision. Hippus.
Healthcare visit (other): Currently hospitalized at (b)(6) in Burlington Vermont
redacted (b)(6)

Release 3 — day 28, dose 2

2021-02-09

Symptoms: severe constipation, no urge to pee or poop, severe abd pain, neck and back pain, left arm heaviness, left sided numbness, difficulty in walking, pins and needles in right arm, burning right foot, hippus, dizziness, left eye numbness, chest pain, etc cut off by CDC
Healthcare visit (other): Neurology

Release 4 — day 35, dose 2

2021-02-16

Symptoms: I have had 120+ episodes of severe weakness/ fatigue that leave me unable to move, speak, swallow at times. Sometime I can speak but it is very slow. Episodes last 5 seconds to 1.5 hours. Severe bone pain, chest pain, shortness of breath, ribs spasms cut off by CDC
Healthcare visit (other): Neurologist/immunologist

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Right sided numbness

Release 7 — 3 months, dose 2

2021-04-14

Symptoms: I mostly had left sided numbness before. Now I have intermittent bilateral hand, arm, feet, numbness - to the point where my left hand is so numb its hard to make my left hand function properly, auras, Hippus (objects pulsate at me at times)
Healthcare visit (other): Neurology, immunology, counselor

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
HCVOHospitalisation ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOSpecialist consultation ✓ ✓ ✓
SDAbdominal pain ✓ ✓ ✓
SDAnxiety ✓ ✓ ✓
SDAphasia ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDAura ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDysphagia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHippus ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDHypoaesthesia eye ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDNeurological symptom ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPulmonary pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRetching ✓ ✓ ✓
SDSensation of foreign body ✓ ✓ ✓
SDSpeech disorder ✓ ✓ ✓
SDTunnel vision ✓ ✓ ✓
SDUrinary retention ✓ ✓ ✓

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