Y4Y-18067-41076
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-19
Registered in v-safe
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had moderate numbness in my left arm, left leg, and left jaw for about an hour after getting the vaccine; self resolved. I have had this with Gardasil dose 2 and 3 before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19 — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I didn't mention this in my check in from yesterday but I also recently had COVID infection so I wonder if my side effects from yesterday were more severe than typically reported due to that factMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2021-01-02
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
-
2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Disorientation, Headache, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral, Pyrexia, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Headache, confusion/disorientation when I was having a fever yesterday. Also on the day of my shot I had unilateral numbness and tingling on my left face, mouth, arm, and leg · Healthcare visit (other): I got a fluid bolusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Feeling very dehydrated · Healthcare visit (other): I got a litre of fluidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-15
- 2021-01-22
- 2021-01-30
- 2021-02-07
- 2021-02-14
- 2021-02-19
- 2021-02-19
- 2021-04-09
- 2021-07-09
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-19 | Unsuccessful | |
| 2021-01-10 | Unsuccessful | |
| 2021-01-14 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I had moderate numbness in my left arm, left leg, and left jaw for about an hour after getting the vaccine; self resolved. I have had this with Gardasil dose 2 and 3 before.
Systemic reaction (other): I didn't mention this in my check in from yesterday but I also recently had COVID infection so I wonder if my side effects from yesterday were more severe than typically reported due to that fact
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Headache, confusion/disorientation when I was having a fever yesterday. Also on the day of my shot I had unilateral numbness and tingling on my left face, mouth, arm, and leg
Healthcare visit (other): I got a fluid bolus
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling very dehydrated
Healthcare visit (other): I got a litre of fluids
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release